Active NPI
Diane Pisano, LCSW C
- Social Worker
- Bowie, MD
National Provider Identifier
1083780779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- O6414
- Practice address
- 14300 Gallant Fox LN
Suite 107
Bowie, MD 20715-4003 - Phone
- (301) 805-5124
- Fax
- (301) 805-1351
- NPI assigned
- Nov 27, 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | O6414 | MD | Primary |
Addresses
Primary practice location
14300 Gallant Fox LN
Suite 107
Bowie, MD 20715-4003
Mailing address
3715 Ivy Hill Lane
Bowie, MD 20715
Phone (301) 805-5124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146561900 | Medicaid | MD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O6414 | MD | MD | Social Worker |
| 06414 | MD | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253232000000",
"number": "1083780779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 IVY HILL LANE",
"city": "BOWIE",
"state": "MD",
"postal_code": "20715",
"telephone_number": "301-805-5124",
"fax_number": "301-805-1351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14300 GALLANT FOX LN",
"address_2": "SUITE 107",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154003",
"telephone_number": "301-805-5124",
"fax_number": "301-805-1351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISANO",
"first_name": "DIANE",
"name_prefix": "Ms.",
"credential": "LCSW C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2009-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "O6414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146561900",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
- Pinacle Home Health Services
- Debra Lattimer Pinales, MS, CRNP
- Anthony Bernard Pinkney, MA, LCPC, LMHC
- Pinpoint Speech Therapy, LLC
- Islamia Pio Epse Afantchao Bi
- Maria Helena Pittarelli, RD
- Tamia Andrea Pleasants, LCPC, NCC
- Pmrehab Pain and Sports Medicine Associates
- Angela Jasman Pohl, PT
- Modupe Solabomi Popoola
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.