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

Individual provider Clinical Social Worker · NPI 1366729493

Diane Jackson, LCSW is a Clinical Social Worker in Richmond, Virginia. Licensed in Virginia. Registered with an NPI since 2011.

Licensed in
VA
In the registry since
2011
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

9416 Creek Summit Cir
Richmond, VA 23235-4277
Phone: (804) 819-4000
Fax: (804) 819-5221
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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 0904007697 (VA)

Record details

NPI number1366729493
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 3, 2011
Last updated in NPPESJuly 25, 2014

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