Individual provider · Type 1 NPI

Diana Kickery, LISW-CP

Clinical Social Worker · Clover, SC

NPI number 1730960261 Active

Practice location

1639 Windsong Forest Rd
Clover, SC 29710-9410

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X16396 (SC)

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 1730960261

Diana Kickery, LISW-CP's National Provider Identifier is 1730960261, issued on Oct 10, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clover, SC. The record was last updated on Sep 17, 2026.