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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIANE BLACKISTON, LCSW

Active

DIANE BLACKISTON, LCSW is a Clinical Social Worker healthcare provider located in VIRGINIA BEACH, Virginia. NPI 1417048372 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · VIRGINIA BEACH, VA

Registration Details

NPI Number
1417048372
Provider Type
Individual
Gender
Female
NPI Issued
Sep 27, 2006 (19.860444218021 yrs)
Last Updated
Jul 29, 2015
License
0904004231 (VA)

Practice Information

Address
297 INDEPENDENCE BLVD
SUITE 126
VIRGINIA BEACH, VA, 234622911
Browse VA providers · Browse ZIP 23462
Phone
7573850511
Fax
7574735161
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in VIRGINIA BEACH, VA

Name Credential NPI
MICHAEL JAN KUBAT LCSW 1184629164
MS. MARY H GAY L.C.S.W. 1497754113
PRISCILLA L BALLSUN LCSW 1699767558
CLAUDIA L BROWN LCSW 1447243530
MR. DOUGLAS G. MORIN LCSW 1447245543
E JEANNE SALEMI LCSW 1487642815
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.