Individual provider · Type 1 NPI

Diana Blackwell, LCSW

Clinical Social Worker · Crystal City, MO

NPI number 1811088446 Active

Practice location

508 N Truman Blvd Ste F
Crystal City, MO 63019-1344

Fax (888) 783-3165

Other practice locations

  • 8135 Berry Rd, Bonne Terre, MO 63628-4355 · (573) 315-5549

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X005911 (MO)

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 1811088446

Diana Blackwell, LCSW's National Provider Identifier is 1811088446, issued on Sep 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Crystal City, MO. The record was last updated on Jul 7, 2026.