Diane Blackiston in Virginia Beach - Clinical
Diane Blackiston - NPI 1417048372
Diane Blackiston is a Clinical in Virginia Beach, Virginia. Diane Blackiston practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diane Blackiston is 1417048372. The last update date is 2015-07-29.
Diane Blackiston's current location address is 289 Independence Blvd, Virginia Beach, Virginia. You can contact this provider via phone number 7573850687 and fax number 7574935456. The mailing address for Diane Blackiston is 289 Independence Blvd, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Blackiston |
|---|---|
| Address | 289 Independence Blvd, Virginia Beach, Virginia |
| Phone Number | 7573850687 |
| Fax Number | 7574935456 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1417048372 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2015-07-29 |
Provider Mailing Address Detail
| Address | 289 Independence Blvd |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 23462 |
| Phone Number | 7573850687 |
| Fax Number | 7574935456 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904004231 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 256690 | VA | ANTHEM | |
| 4945395 | VA | -- | |
| O84769 | VA | OPTIMA | |
| 4945395 | VA | VA PREMIER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Diane Blackiston by the Centers for Medicare & Medicaid Services?
The Diane Blackiston has been assigned the NPI (National Provider Identifier) 1417048372 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Diane Blackiston?
The Diane Blackiston is physically situated at 289 Independence Blvd, in the city of Virginia Beach, state of VA, with the postal code 23462.
What is Diane Blackiston's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Diane Blackiston is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date was the 1417048372 assigned to Diane Blackiston?
The Diane Blackiston was issued its 1417048372 on 2006-09-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Diane Blackiston last refreshed?
The information related to the Diane Blackiston, including its address, specialty, and other relevant details, was last updated on 2015-07-29.
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