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MS. DIANA WYDO LCSW
NPI 1619146305
Social Worker - Clinical in Raleigh, NC

Active since February 27, 2008
4112 BLUE RIDGE ROAD, 2ND FLOOR, RALEIGH, NC 27612(919) 573-6520(919) 573-6557 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Diana Wydo Lcsw NPPES

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

MS. DIANA WYDO LCSW (NPI 1619146305) is an individual clinical provider in Raleigh, North Carolina, licensed in North Carolina (C005621) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1619146305
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. DIANA WYDOCredential: LCSW
Location Address4112 BLUE RIDGE ROAD, 2ND FLOORRaleigh, NC 27612-4652
Mailing Address25 Blackstone Valley Place, Suite 300 Fellowship Health Resources IncLincoln, RI 02865-1163 · (401) 333-3980 · Fax (401) 333-3984
Phone(919) 573-6520
Fax(919) 573-6557
Sole ProprietorNo
Enumeration DateFebruary 27, 2008
✔ NPI 1619146305 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 NC · C005621
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.
4112 BLUE RIDGE ROAD, Raleigh, NC 27612
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Other Providers at the Same Location NPPES

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

MR. KENNETH LOUIS SHORE LCSW
Social Worker (Clinical)
4112 BLUE RIDGE ROAD, 2ND FLOOR
RALEIGH, NC 27612
Wake County (919) 573-6520

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 Wydo's NPI number?

The NPI number for Diana Wydo is 1619146305. It was assigned to this individual provider in the NPPES registry on February 27, 2008.

Where is Diana Wydo located?

Diana Wydo practices at 4112 Blue Ridge Road 2nd Floor, Raleigh, NC 27612. The listed phone number is (919) 573-6520.

What is Diana Wydo'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 Diana Wydo was last updated on February 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.