Provider Demographics
NPI:1174980890
Name:BENFIELD, DIANE P (LCSW, CST)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:P
Last Name:BENFIELD
Suffix:
Gender:F
Credentials:LCSW, CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 NW FORK RD APT 2-12
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-8976
Mailing Address - Country:US
Mailing Address - Phone:772-530-9059
Mailing Address - Fax:
Practice Address - Street 1:800 NW FORK RD APT 2-12
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-8976
Practice Address - Country:US
Practice Address - Phone:772-530-9059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-26
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW118991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical