Individual provider Active NPI

Diana L Jamison, LCSW

  • Clinical Social Worker
  • Kilmarnock, VA
National Provider Identifier
1508800277
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000993 Issued in VA
Practice address
25 Office Park Dr
Suite 2
Kilmarnock, VA 22482
Phone
(804) 436-9218
Fax
(804) 435-6836
NPI assigned
Jun 15, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904000993 VA Primary

Addresses

Primary practice location

25 Office Park Dr
Suite 2
Kilmarnock, VA 22482

Mailing address

PO Box 877
Kilmarnock, VA 22482-0877
Phone (804) 436-9218

Other identifiers 2

IdentifierTypeStateIssuer
083330OtherVAOPTIMA HEALTH / SENTARA/
186767OtherVAANTHEM PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050618000132 VA Practitioner - Clinical Social Worker 6901840016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11 Bellevue Rd
Kilmarnock, VA 22482-3813
Phone (804) 761-3991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904000993VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Jamison LCSW PLLC CurrentSince Dec 3, 2008 Accepting new patients
Middle Peninsula Northern Neck Mental Health & Retardation Past Accepting new patients
Middle Peninsula-Northern Neck Mental Health and Mental Retardation Past Accepting new patients

Locations

25 Office Park Dr
Ste 2
Kilmarnock, VA 22482
Phone (804) 356-3008

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508800277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 877",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224820877",
            "telephone_number": "804-436-9218",
            "fax_number": "804-435-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OFFICE PARK DR",
            "address_2": "SUITE 2",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "22482",
            "telephone_number": "804-436-9218",
            "fax_number": "804-435-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "DIANA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH / SENTARA/",
            "identifier": "083330",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "186767",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilmarnock, VA

Sources for this page

Verify at the official NPI Registry.