Diana Nicole Blank, LCSW in Burlingame, CA - Medicare Clinical Social Worker Provider

Diana Nicole Blank, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Burlingame, California. She graduated from medical school in 1994 and has 32 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mood Clinical, P. C. and her current practice location is 1720 El Camino Real Ste 140, Burlingame, California. You can reach out to her office (for appointments etc.) via phone at (925) 282-1778.

Diana Nicole Blank is licensed to practice in California (license number 18202) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255749479.

Contact Information

	Diana Nicole Blank, LCSW
	1720 El Camino Real Ste 140, Burlingame, CA 94010-3231
	(925) 282-1778
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Diana Nicole Blank
Gender	Female
Speciality	Clinical Social Worker
Experience	32 Years
Location	1720 El Camino Real Ste 140, Burlingame, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Diana Nicole Blank graduated from medical school in 1994

NPI Data:

NPI Number: 1255749479
Provider Enumeration Date: 07/31/2014
Last Update Date: 05/28/2026

Medicare PECOS Information:

PECOS PAC ID: 2567955941
Enrollment ID: I20251203003978

Medical Identifiers

Medical identifiers for Diana Nicole Blank such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255749479	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	18202 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mood Clinical, P. C.	4981080769	95

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diana Nicole Blank is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Diana Nicole Blank, LCSW 1720 El Camino Real Ste 140, Burlingame, CA 94010-3231 Ph: (925) 282-1778	Diana Nicole Blank, LCSW 1720 El Camino Real Ste 140, Burlingame, CA 94010-3231 Ph: (925) 282-1778

Reviews and Comments

Social Worker in Burlingame, CA

Jennifer Lynn Merrill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1529 Rollins Rd, Burlingame, CA 94010 Phone: 415-690-5495
Debra Ruben, LCSW, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1408 Chapin Ave Ste 3, Burlingame, CA 94010 Phone: 415-322-9180
Ms. Hilary Kate Robison, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 Primrose Rd, Ste 310, Burlingame, CA 94010 Phone: 650-342-4535
Angelica Leanne Carlsen, ASW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1575 Old Bayshore Hwy Ste 205, Burlingame, CA 94010 Phone: 669-200-2709
Carla Daniela Alvarado-aguilar, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1375 Burlingame Ave, Burlingame, CA 94010 Phone: 650-952-1190
Shirley Eigenbrot, LCSW, MAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1860 El Camino Real, Suite 310, Burlingame, CA 94010 Phone: 650-455-3121 Fax: 650-697-3931

Diana Nicole Blank, LCSW - Medicare Clinical Social Worker in Burlingame, CA