Blackmon, Diane
Blackmon, Diane is an sole proprietor health care provider with primary practice located at 5000 Thayer Ctr Ste C , Oakland MD 21550-1139. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Blackmon, Diane can be contacted via phone (301) 276-4116.Contact Information
Primary practice address
5000 Thayer Ctr Ste C
Oakland MD 21550-1139
Phone: (301) 276-4116
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 26801 | Maryland |
Profile Details
| NPI number | 1053933796 |
|---|---|
| LBN Legal business name | Blackmon, Diane |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2020 |
| Last updated | Sep 15th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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