Individual
DIANE CARNOALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
(970) 945-6535
(970) 384-6782
Mailing address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4259
(970) 945-6535
(970) 384-6782
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6060
KS
1041C0700X
Clinical Social Worker
Primary
09923779
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09923779
DORA COLORADO
CO
05
—
100117700A
—
KS
Enumeration date
03/02/2006
Last updated
03/26/2019
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