Individual provider · Type 1 NPI
Diana Melisa Idelson, LCSW
Clinical Social Worker · Southport, NC
Practice location
4320 Southport Supply Rd SE Ste 200
Southport, NC 28461-8056
Fax (910) 457-1072
Mailing address
3950 Pepperberry Ln
Southport, NC 28461-8481
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | C012223 (NC) |
Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1003062415
Diana Melisa Idelson, LCSW's National Provider Identifier is 1003062415, issued on Aug 18, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southport, NC. The record was last updated on Jan 7, 2026.