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DIANA NICOLE BLANK LCSW
NPI 1255749479
Social Worker - Clinical in Burlingame, CA

Active since July 31, 2014PECOS EnrolledAccepts Medicare Assignment
1720 EL CAMINO REAL STE 140, BURLINGAME, CA 94010(925) 282-1778 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Diana Nicole Blank Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANA NICOLE BLANK LCSW (NPI 1255749479) is an individual clinical provider in Burlingame, California, licensed in California (18202) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1255749479
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDIANA NICOLE BLANKCredential: LCSW
Location Address1720 EL CAMINO REAL STE 140Burlingame, CA 94010-3231
Mailing Address1720 El Camino Real Ste 140Burlingame, CA 94010-3231 · (925) 282-1778
Phone(925) 282-1778
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 31, 2014
Last NPPES UpdateMay 28, 2026
NPPES CertifiedMay 28, 2026
✔ NPI 1255749479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 18202
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1720 EL CAMINO REAL STE 140, Burlingame, CA 94010
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Diana Nicole Blank Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567955941
PECOS Enrollment IDI20251203003978
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Diana Blank reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mood Clinical, P. C.
366 mi
Family
980 W 17TH ST STE C
Santa Ana, CA 92706
  • Reassigned Medicare billing, California enrollment
  • 182 clinicians in this Medicare group
NPI 1922675644 (619) 639-9730
Pacific Coast Psychiatric Associates Inc
651 mi
Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, California enrollment
  • 766 clinicians in this Medicare group
NPI 1023125465 (702) 805-5360

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL WARREN EASTMAN PHD
Psychologist (Clinical)
1720 EL CAMINO REAL STE 140
BURLINGAME, CA 94010
San Mateo County (925) 282-1778
DR. AKIRA OLSEN PSY.D.
Psychologist (Clinical)
1720 EL CAMINO REAL STE 140
BURLINGAME, CA 94010
San Mateo County (925) 282-1778
DR. GING-LONG WANG M.D.
Psychiatry & Neurology (Psychiatry)
1720 EL CAMINO REAL STE 140
BURLINGAME, CA 94010
San Mateo County (925) 282-1778
SHAYNA MARETTE STRAUCH LPCC
Counselor (Professional)
1720 EL CAMINO REAL STE 140
BURLINGAME, CA 94010
San Mateo County (925) 282-1778
MONA L CABADA LMFT
Marriage & Family Therapist
1720 EL CAMINO REAL STE 140
BURLINGAME, CA 94010
San Mateo County (925) 282-1778
MS. KAYLI COVER PSYD
Psychologist (Clinical)
1720 EL CAMINO REAL STE 140
BURLINGAME, CA 94010
San Mateo County (925) 282-1778
WENDY MICHELLE TOWLE LMFT
Marriage & Family Therapist
1720 EL CAMINO REAL STE 140
BURLINGAME, CA 94010
San Mateo County (925) 282-1778
CHRISTIANA KATHERINA HARGRAVE LMFT
Marriage & Family Therapist
1720 EL CAMINO REAL STE 140
BURLINGAME, CA 94010
San Mateo County (925) 282-1778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diana Blank's NPI number?

The NPI number for Diana Blank is 1255749479. It was assigned to this individual provider in the NPPES registry on July 31, 2014.

Where is Diana Blank located?

Diana Blank practices at 1720 El Camino Real Ste 140, Burlingame, CA 94010. The listed phone number is (925) 282-1778.

What is Diana Blank's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Diana Blank enrolled in Medicare?

Yes. Diana Blank is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Diana Blank's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diana Blank reassigns Medicare benefits to 2 organizations: Mood Clinical, P. C. (Santa Ana, CA) and Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Diana Blank's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Diana Blank was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.