DIANA BLACKWELL (LCSW) – Clinical Social Worker, NPI 1811088446
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DIANA BLACKWELL (LCSW)
8135 Berry Rd
Bonne Terre, MO 636284355
Phone: (573) 756-2108
Fax: (573) 756-1865
Type: Location
605, Wallace Road, Farmington, Saint Francois County, Missouri, 63640, United States
FARMINGTON, MO 636409217
Phone: (573) 756-2108
Fax: (573) 756-1865
Type: Mailing
508 N TRUMAN BLVD STE F
CRYSTAL CITY, MO 630191344
Phone: (636) 931-8784
Fax: (636) 465-0026
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-09-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120912000867 | I | Clinical Social Worker | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 98 | 12 | $0 |
Insurance plans in this area (ZIP 63628)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MO | |
| Certified Clinical Nurse Specialist (Cns) | MO | |
| Psychiatry, Neurology | MO | |
| Certified Clinical Nurse Specialist (Cns) | IL | |
| Clinical Social Worker | MO | |
| Clinical Social Worker | MO | |
| Clinical Social Worker | MO | |
| Clinical Social Worker | MO |
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