Individual
MS. DIANA MELISA IDELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4320 SOUTHPORT SUPPLY RD SE STE 200, SOUTHPORT, NC 28461-8056
(910) 457-0800
(910) 457-1072
Mailing address
3950 PEPPERBERRY LN, SOUTHPORT, NC 28461-8481
(845) 537-5706
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C012223
NC
Other
Enumeration date
08/18/2008
Last updated
01/07/2026
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