# DIANE FORSE, LCSW, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIANE FORSE, LCSW, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679116636
- **Legal business name:** DIANE FORSE, LCSW, PLLC
- **Authorized official:** MS. DIANE M FORSE LCSW (OWNER/PROVIDER)
- **Authorized official phone:** (757) 603-3997

## Contact information

- **Practice address:** 14 S AUBURN AVE, RICHMOND, VA 23221-2910
- **Practice address phone:** (757) 603-3997
- **Mailing address:** 6268 CHELSEA CRES, WILLIAMSBURG, VA 23188-1787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 305S00000X | Point of Service | — | NULL | — |

## Other

- **Enumeration date:** 10/23/2019
- **Last updated:** 10/23/2019