Provider Demographics
NPI:1760721385
Name:BROWN, DIANA ROSE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:ROSE
Last Name:BROWN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:DIANA
Other - Middle Name:ROSE
Other - Last Name:LEMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1155 MILL ST # L-11
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1576
Mailing Address - Country:US
Mailing Address - Phone:775-982-6831
Mailing Address - Fax:
Practice Address - Street 1:1155 MILL ST # L-11
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1576
Practice Address - Country:US
Practice Address - Phone:775-982-6831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5084-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical