Diana Blackwell, LCSW
NPI 1811088446ActiveIndividual· Social Worker, Clinical· Crystal City, MO
Social Worker, Clinical (LCSW) in Crystal City, Missouri, licensed in MO, with an NPI issued in September 2006. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1811088446 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Sep 27, 2006 |
| Last updated in NPPES | Jul 7, 2026 |
| Certified by provider | Jul 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 005911 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MO) |
|---|
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Other Social Worker, Clinical providers in Crystal City
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- 1538205448
- 1164681755