Doctor Name: | DIANNE T MASON |
NPI Number: | 1497796759 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 2564 |
Business Practice Address: | 2015 Nw 39th St Suite 302 Lincoln City, OR - 973674824 |
Business Phone Number: | 5415571518 |
Business Fax Number: | 5419964004 |
Mailing Address: | Po Box 170, LINCOLN CITY |
State: | OR |
Postal Code: | 973670170 |
Phone Number: | 5415571518 |
Fax Number: | 5419964004 |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2564 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |