Provider Demographics
NPI:1083713499
Name:STRADER-WHITNEY, DIANE EMILY (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:EMILY
Last Name:STRADER-WHITNEY
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MRS
Other - First Name:DIANE
Other - Middle Name:EMILY
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:13852 SPRINGSTONE DR
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:VA
Mailing Address - Zip Code:20124-2361
Mailing Address - Country:US
Mailing Address - Phone:703-830-6176
Mailing Address - Fax:202-782-4996
Practice Address - Street 1:3901 THE ALAMEDA
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2100
Practice Address - Country:US
Practice Address - Phone:410-605-7000
Practice Address - Fax:410-605-7685
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD121611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical