Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Diane Maxine Churchill, LCSW, PHD, CASAC

Individual provider Clinical Social Worker · NPI 1932304912

Diane Maxine Churchill, LCSW, PHD, CASAC is a Clinical Social Worker in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

80 E 11th St # 404
New York, NY 10003-6811 Not confirmed with CMS for 19 years — call before visiting
Phone: (212) 228-1699
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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 R042703-1 (NY)

Record details

NPI number1932304912
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , PHD , CASAC
Sole proprietorYes
NPI enumeratedJune 19, 2007
Last updated in NPPESJuly 8, 2007

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