| Doctor Name: | MRS. GILLIAN ANDREA BLACKMAN-DIARRA |
| NPI Number: | 1871859215 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-C |
| License Number: | 17577 |
| Business Practice Address: | 6201 Greenbelt Rd Ste U4 Berwyn Heights, MD - 207402361 |
| Business Phone Number: | 2403548552 |
| Business Fax Number: | 3017355294 |
| Mailing Address: | 7015 Dolphin Rd, LANHAM |
| State: | MD |
| Postal Code: | 207063908 |
| Phone Number: | 2403548552 |
| Fax Number: | 3017355294 |
| NPI Enumeration Date: | 04/10/2012 |
| NPI Last Update Date: | 06/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 17577 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |