MS. Diana Melisa Idelson, LCSW
NPI #1003062415 in Southport, North Carolina
Provider Information
- NPI Number
- 1003062415
- Entity Type
- Individual
- Name
- MS. Diana Melisa Idelson, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Aug 18, 2008
- Last Updated
- Jan 7, 2026
Practice Location
- Address
- 4320 SOUTHPORT SUPPLY RD SE STE 200
- City
- Southport
- State
- North Carolina
- ZIP Code
- 28461-8056
- Phone
- (910) 457-0800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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