Provider Demographics
NPI:1780875690
Name:BINNS, DIANN C (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DIANN
Middle Name:C
Last Name:BINNS
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 1:2005 VALPARAISO ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-3137
Mailing Address - Country:US
Mailing Address - Phone:219-798-3475
Mailing Address - Fax:
Practice Address - Street 1:2005 VALPARAISO ST
Practice Address - Street 2:SUITE 104
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-3137
Practice Address - Country:US
Practice Address - Phone:219-798-3475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34005373A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical