MS. DIANE JOAN DMYTRYK LICSW
NPI 1942409362
Social Worker - Clinical in Medford, MA

Active since July 16, 2007
66 MARSTON ST, MEDFORD, MA 02155(781) 395-5724(484) 450-4144 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Diane Joan Dmytryk Licsw NPPES

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

MS. DIANE JOAN DMYTRYK LICSW (NPI 1942409362) is an individual clinical provider in Medford, Massachusetts, licensed in Massachusetts (1015702) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1942409362
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. DIANE JOAN DMYTRYKCredential: LICSW
Location Address66 MARSTON STMedford, MA 02155-4469
Mailing Address66 Marston StMedford, MA 02155-4469 · (781) 395-5724 · Fax (484) 450-4144
Fax(484) 450-4144
Sole ProprietorYes
Enumeration DateJuly 16, 2007
NPI 1942409362 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 MA · 1015702
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.
66 MARSTON ST, Medford, MA 02155

Other Identifiers 1

OtherP04659MA · Blue Cross Blue Shield

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 Dmytryk's NPI number?

The NPI number for Diane Dmytryk is 1942409362. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Where is Diane Dmytryk located?

Diane Dmytryk practices at 66 Marston St, Medford, MA 02155. The listed phone number is (781) 395-5724.

What is Diane Dmytryk'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 Dmytryk was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.