Brown, Diane Marie

Brown, Diane Marie is an individual health care provider with primary practice located at 1818 S 10Th Ave Ste 200 , Caldwell ID 83605-4880. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brown, Diane Marie can be contacted via phone (208) 459-4412.

Contact Information

Primary practice address
1818 S 10Th Ave Ste 200 Caldwell ID 83605-4880
Fax: (208) 459-7296
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-968 Idaho

Profile Details

NPI number 1346441052
LBN Legal business name Brown, Diane Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1346441052 NPPES
Idaho Other L5944 BLUE CROSS
Idaho Other 000010017051 BLUE CROSS

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