Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diana Nicole Blank, LCSW

Individual provider Clinical Social Worker · NPI 1255749479

Diana Nicole Blank, LCSW is a Clinical Social Worker in Burlingame, California. Qualified in 1994, 32 years ago. Practices with Mood Clinical, P. C., a 100-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
32
Licensed in
CA
In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1720 El Camino Real Ste 140
Burlingame, CA 94010-3231
Phone: (925) 282-1778
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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 18202 (CA)

Record details

NPI number1255749479
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 31, 2014
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Mood Clinical, P. C. — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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