Provider Demographics
NPI:1114399771
Name:DIAMOND, GENEVIEVE (LCSW-C)
Entity type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:
Last Name:DIAMOND
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:GENEVIEVE
Other - Middle Name:
Other - Last Name:DIAMOND-KREBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:610 E DIAMOND AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-5321
Mailing Address - Country:US
Mailing Address - Phone:301-840-3200
Mailing Address - Fax:301-493-6209
Practice Address - Street 1:610 E DIAMOND AVE
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-5321
Practice Address - Country:US
Practice Address - Phone:443-682-0261
Practice Address - Fax:240-631-6949
Is Sole Proprietor?:No
Enumeration Date:2015-10-22
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD204321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical