Provider Demographics
NPI:1407146277
Name:DIAMOND, JONI (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JONI
Middle Name:
Last Name:DIAMOND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14407 HAMLIN ST STE E
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-6200
Mailing Address - Country:US
Mailing Address - Phone:818-988-2018
Mailing Address - Fax:818-832-9941
Practice Address - Street 1:16014 CELTIC ST
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-5310
Practice Address - Country:US
Practice Address - Phone:818-470-7346
Practice Address - Fax:818-832-9941
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-14
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS118761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical