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

Diane Blackiston, LCSW

Individual provider Clinical Social Worker · NPI 1417048372

Diane Blackiston, LCSW is a Clinical Social Worker in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
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

297 Independence Blvd Ste 126
Virginia Beach, VA 23462-2911
Phone: (757) 385-0511
Fax: (757) 473-5161
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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 0904004231 (VA)

Record details

NPI number1417048372
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESJuly 29, 2015

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