Diana Blackwell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005911 Issued in MO

Practice address

508 N Truman Blvd Ste F
Crystal City, MO 63019-1344

Phone

(573) 315-5549

Fax

(888) 783-3165

NPI assigned

Sep 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Psychotherapy LLC

  • Clinical Social Worker
  • Crystal City, MO
  • NPI 1164203188
  Medicare reassignment NPD Authorized official
• Advanced Psychiatric Services Inc

  • Psychiatry Physician
  • Festus, MO
  • NPI 1154372464
  Medicare reassignment NPD
• Advanced Psychiatric Services

  • Psychiatry Physician
  • Sullivan, MO
  • NPI 1457303877
  NPD (past)
• Farmington Missouri Hospital Company LLC

  dba Children's Haven

  • Adolescent and Children Mental Health Clinic/Center
  • Farmington, MO
  • NPI 1316989114

  Clinical

  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1811088446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N TRUMAN BLVD STE F",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630191344",
            "telephone_number": "202-641-3750",
            "fax_number": "888-783-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N TRUMAN BLVD STE F",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630191344",
            "telephone_number": "573-315-5549",
            "fax_number": "888-783-3165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8135 Berry Rd",
            "address_purpose": "LOCATION",
            "city": "Bonne Terre",
            "state": "MO",
            "postal_code": "636284355",
            "country_code": "US",
            "telephone_number": "573-315-5549",
            "fax_number": "888-783-3165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "DIANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "005911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493964837",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Homepatient, Inc.
• Jennifer Lynne Amptman
• Allyson Barto, PHARMD
• Christopher M Cabral, PT, DPT
• Jessica Cantrell, MA, LPC
• Kristin J Charlesworth, PLPC
• Darcy M Clawson, P.A.-C
• Talon Colby

• Clinical Social Worker in Crystal City, MO
• Providers in Crystal City, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.