NPI 1053933796

Diane Blackmon, LCSWC

Practitioner Clinical Social Worker Oakland, MD

Practice location

Address: 5000 Thayer Ctr STE C, Oakland, MD 21550-1139
Phone: (301) 276-4116
Mailing address: 10308 Glen Vista Dr, Dallas, TX 75217-3582

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 26801 (MD)

Other Social Worker providers in Maryland →

Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X

Registry record

NPI: 1053933796
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 May 2020
Record last updated: 15 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.