Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Diana Kickery, LISW-CP

Individual provider Clinical Social Worker · NPI 1730960261

Diana Kickery, LISW-CP is a Clinical Social Worker in Clover, South Carolina. Licensed in South Carolina. Registered with an NPI since 2023.

Licensed in
SC
In the registry since
2023
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Practice location Address checks out

1639 Windsong Forest Rd
Clover, SC 29710-9410
Phone: (803) 627-0249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 16396 (SC)

Record details

NPI number1730960261
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-CP
Sole proprietorNo
NPI enumeratedOctober 10, 2023
Last updated in NPPESSeptember 17, 2026
Certification dateSeptember 17, 2026

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