Diana L. Wall- Dudley, LCSW

Clinical Social Worker · Collinsville, IL

Individual Active NPI

NPI number 1386998938

Practice location

2014 Vandalia St
Collinsville, IL 62234-4848
Phone
(618) 345-9536
Fax
(618) 345-9587

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NPI record

NPI
1386998938
Entity type
Individual (Type 1)
Enumeration date
November 5, 2012
Last updated
February 24, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149.009947 IL

About Diana Wall- Dudley

Diana L. Wall- Dudley, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 2014 Vandalia St, Collinsville, IL 62234-4848. The NPI number 1386998938 was assigned on November 5, 2012 and the record was last updated on February 24, 2014.

Diana Wall- Dudley lists a license in the registry: #149.009947 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Diana L. Wall- Dudley, LCSW?

The NPI number is 1386998938.

What is the phone number of Diana Wall- Dudley?

The phone number listed for the practice location is (618) 345-9536.

Where is Diana Wall- Dudley located?

2014 Vandalia St, Collinsville, IL 62234-4848.

What is the taxonomy code for Diana Wall- Dudley?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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