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

Diana Wallace, LCSW

Individual provider Clinical Social Worker · NPI 1336145432

Diana Wallace, LCSW is a Clinical Social Worker in Newport, Kentucky. Licensed in Connecticut and Kentucky. Registered with an NPI since 2005.

Licensed in
CT, KY
In the registry since
2005
Specialties on file
2
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

1 Nunn Dr University Ctr Ste 440
Newport, KY 41099-0002
Phone: (859) 572-5650
Fax: (859) 572-5615
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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 3632 (KY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 005144 (CT)

Record details

NPI number1336145432
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 23, 2005
Last updated in NPPESJune 12, 2012

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