DIANE BLACKISTON LCSW
NPI 1417048372
Social Worker - Clinical in Virginia Beach, VA

Active since September 27, 2006
297 INDEPENDENCE BLVD, SUITE 126, VIRGINIA BEACH, VA 23462(757) 385-0511(757) 473-5161 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diane Blackiston Lcsw NPPES

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

DIANE BLACKISTON LCSW (NPI 1417048372) is an individual clinical provider in Virginia Beach, Virginia, licensed in Virginia (0904004231) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1417048372
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDIANE BLACKISTONCredential: LCSW
Location Address297 INDEPENDENCE BLVD, SUITE 126Virginia Beach, VA 23462-2911
Mailing Address289 Independence Blvd, Suite 312Virginia Beach, VA 23462 · (757) 385-0687 · Fax (757) 493-5456
Fax(757) 473-5161
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 29, 2015
NPI 1417048372 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 VA · 0904004231
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.
297 INDEPENDENCE BLVD, Virginia Beach, VA 23462

Other Identifiers 6

OtherO84769VA · Optima
Medicare UPINP07905VA
Medicare ID-Type Unspecified009728C34VA · Medicare Number
Medicaid004945395VA
Other256690VA · Anthem
Other004945395VA · Va Premier

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
297 INDEPENDENCE BLVD, 126
VIRGINIA BCH, VA 23462
Psychologist (Clinical)
297 INDEPENDENCE BLVD, PEMBROKE SIX, STE. 212
VIRGINIA BEACH, VA 23462
Social Worker (Clinical)
297 INDEPENDENCE BLVD
VIRGINIA BEACH, VA 23462
Counselor (Professional)
297 INDEPENDENCE BLVD, SUITE 126
VIRGINIA BEACH, VA 23462
Social Worker (Clinical)
297 INDEPENDENCE BLVD, PEMBROKE 6, SUITE 300
VIRGINIA BEACH, VA 23462
Counselor (Professional)
297 INDEPENDENCE BLVD, PEMBROKE SIX, SUITE 126
VIRGINIA BEACH, VA 23462
Social Worker (Clinical)
297 INDEPENDENCE BLVD
VIRGINIA BEACH, VA 23462
Counselor (Professional)
297 INDEPENDENCE BLVD, STE 300
VIRGINIA BEACH, VA 23462

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 Diane Blackiston's NPI number?

The NPI number for Diane Blackiston is 1417048372. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Diane Blackiston located?

Diane Blackiston practices at 297 Independence Blvd Suite 126, Virginia Beach, VA 23462. The listed phone number is (757) 385-0511.

What is Diane Blackiston's specialty?

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

When was this NPI record last updated?

The NPPES record for Diane Blackiston was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.