Provider Demographics
NPI:1447131370
Name:DISHMAN, DIAMOND (LCSW)
Entity type:Individual
Prefix:
First Name:DIAMOND
Middle Name:
Last Name:DISHMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DIAMOND
Other - Middle Name:
Other - Last Name:DICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:470 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:KY
Mailing Address - Zip Code:42633-1532
Mailing Address - Country:US
Mailing Address - Phone:606-753-2359
Mailing Address - Fax:
Practice Address - Street 1:470 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:KY
Practice Address - Zip Code:42633-1532
Practice Address - Country:US
Practice Address - Phone:606-753-2359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-09
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2599151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical