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

Mrs. Diane Jean Ivanov, LCSW

Individual provider Clinical Social Worker · NPI 1932183100

Mrs. Diane Jean Ivanov, LCSW is a Clinical Social Worker in Milltown, New Jersey. Licensed in New Jersey and New York. Registered with an NPI since 2005.

Licensed in
NJ, NY
In the registry since
2005
Specialties on file
2
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

77 N Main St Ste 4
Milltown, NJ 08850-1521
Phone: (718) 496-1149
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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 44SC04824800 (NJ)
Clinical Social Worker Taxonomy 1041C0700X · Licence R049698-1 (NY)

Record details

NPI number1932183100
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 1, 2005
Last updated in NPPESJuly 13, 2026

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