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

Individual provider Clinical Social Worker · NPI 1669514980

Diane Durkin Petersen, LISW is a Clinical Social Worker in Columbus, Ohio. Qualified in 1984, 42 years ago. Practices with Psychological and Behavioral Consultants LLC, a 577-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
42
Licensed in
OH
In the registry since
2007
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

1299 Olentangy River Rd
Columbus, OH 43212-3135
Phone: (614) 566-3348
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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 I6025 (OH)

Record details

NPI number1669514980
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedFebruary 13, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Psychological And Behavioral Consultants Llc — 577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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