Individual provider · Type 1 NPI

Diane Jean Ivanov, LCSW

Clinical Social Worker · Milltown, NJ

NPI number 1932183100 Active

Practice location

77 N Main St, Ste 4
Milltown, NJ 08850-1521

Mailing address

538 1st Ave
North Brunswick, NJ 08902-3306

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC04824800 (NJ)
Clinical Social Worker 1041C0700XR049698-1 (NY)

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 1932183100

Diane Jean Ivanov, LCSW's National Provider Identifier is 1932183100, issued on Dec 1, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Milltown, NJ. The record was last updated on Jul 13, 2026.