Individual provider · Type 1 NPI

Diane Blackmon, LCSW-C

Clinical Social Worker · Baltimore, MD

NPI number 1053933796 Active

Practice location

306 W Redwood St Ste 202
Baltimore, MD 21201-1708

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XC018447 (NC)
Clinical Social Worker Primary 1041C0700X26801 (MD)
Social Worker 104100000XNone listed

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 1053933796

Diane Blackmon, LCSW-C's National Provider Identifier is 1053933796, issued on May 16, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baltimore, MD. The record was last updated on Sep 1, 2026.