Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Diane Bracamontes, LCSW

Individual provider Clinical Social Worker · NPI 1306089974

Diane Bracamontes, LCSW is a Clinical Social Worker in Maryville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2009
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2016 Vadalabene Dr Ste A
Maryville, IL 62062-6901
Phone: (618) 823-6444
Fax: (618) 551-8456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149013539 (IL)

Record details

NPI number1306089974
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 13, 2009
Last updated in NPPESMarch 8, 2016

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