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

Diane Mitzenmacher, LCSW

Individual provider Clinical Social Worker · NPI 1649366394

Diane Mitzenmacher, LCSW is a Clinical Social Worker in Rancho Cucuamonga, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
3
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

8300 Utica Ave #155
Rancho Cucuamonga, CA 91730-7605
Phone: (909) 285-5205
Fax: (909) 285-2103
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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 LCSW19655 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCS19655 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence BCD#29518 (CA)

Record details

NPI number1649366394
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESJune 8, 2023
Certification dateJune 8, 2023

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