Active NPI
Dylan Hartmann, LCSW-C
- Social Worker
- Mount Airy, MD
National Provider Identifier
1063809747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 18910
- Practice address
- 14907 Chelsea Cir
Mount Airy, MD 21771-8423 - Phone
- (240) 202-0000
- NPI assigned
- Apr 21, 2015
- Last updated
- Apr 9, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 18910 | MD | Primary |
Addresses
Primary practice location
14907 Chelsea Cir
Mount Airy, MD 21771-8423
Mailing address
14907 Chelsea Cir
Mount Airy, MD 21771-8423
Phone (240) 202-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18910 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680998400000",
"number": "1063809747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14907 CHELSEA CIR",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217718423",
"telephone_number": "240-202-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14907 CHELSEA CIR",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217718423",
"telephone_number": "240-202-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMANN",
"first_name": "DYLAN",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-21",
"last_updated": "2023-04-09",
"certification_date": "2023-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "18910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.