NPI Profile for DIANE M PHENIX in NEVADA CITY, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker |
| NPI # | 1134644040 |
|
| Status | Active | |
| Credentials | MSW (Master of Science in Social Work) | |
| Entity | Individual | |
| Enumeration date | 08/11/2017 | |
| Last updated | 08/05/2025 - About 10 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DIANE M PHENIX
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