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

Individual provider Clinical Social Worker · NPI 1306089974

Diane Bracamontes, LCSW is a Clinical Social Worker in Maryville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2009
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

2016 Vadalabene Dr Ste A
Maryville, IL 62062-6901
Phone: (618) 823-6444
Fax: (618) 551-8456
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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 149013539 (IL)

Record details

NPI number1306089974
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 13, 2009
Last updated in NPPESMarch 8, 2016
Mailing address2016 Vadalabene Dr Ste A, Maryville, IL 62062-6901

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