Active NPI
Diane Edith Lorsong, SLP
- Speech-Language Pathologist
- Ridgely, MD
National Provider Identifier
1083700520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 05352
- Practice address
- 14299 Benedictine LN
Ridgely, MD 21660-1434 - Phone
- (410) 634-2112
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 05352 | MD | Primary |
Addresses
Primary practice location
14299 Benedictine LN
Ridgely, MD 21660-1434
Mailing address
121 Sheaffer Rd
Chestertown, MD 21620-2040
Phone (410) 279-7194
Other practice location 1
219 S Washington Street
Easton, MD 21601
Phone (410) 822-1000
Other practice location 2
121 Sheaffer Rd
Chestertown, MD 21620-2040
Phone (410) 279-7194
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 |
|---|---|---|---|
| 05352 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1083700520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 SHEAFFER RD",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216202040",
"telephone_number": "410-279-7194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14299 BENEDICTINE LN",
"city": "RIDGELY",
"state": "MD",
"postal_code": "216601434",
"telephone_number": "410-634-2112"
}
],
"practiceLocations": [
{
"address_1": "219 S Washington Street",
"address_purpose": "LOCATION",
"city": "Easton",
"state": "MD",
"postal_code": "21601",
"country_code": "US",
"telephone_number": "410-822-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "121 Sheaffer Rd",
"address_purpose": "LOCATION",
"city": "Chestertown",
"state": "MD",
"postal_code": "216202040",
"country_code": "US",
"telephone_number": "410-279-7194",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LORSONG",
"first_name": "DIANE",
"middle_name": "EDITH",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "05352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgely, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.