Individual provider Active NPI

Seth Patrick Ditman, LCSWC

  • Clinical Social Worker
  • Westminster, MD
National Provider Identifier
1174251797
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24159 Issued in MD
Practice address
10 Distillery Rd Ste 200
Westminster, MD 21157-5344
Phone
(410) 871-1478
NPI assigned
Aug 11, 2022
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 24159 MD Primary

Addresses

Primary practice location

10 Distillery Rd Ste 200
Westminster, MD 21157-5344

Mailing address

10 Distillery Rd Ste 200
Westminster, MD 21157-5344
Phone (410) 871-1478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230414000084 MD Practitioner - Clinical Social Worker 9830564384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedar Ridge Counseling Centers, LLCGroup PAC ID 4981649738, 44 clinicians

Practice addresses (Care Compare)

1311 Londontown Blvd
Suite 130a
Eldersburg, MD 21784-6439
Phone (410) 552-0773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24159MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Ridge Counseling Centers LLC CurrentSince Jul 19, 2023 Accepting new patients

Locations

1311 Londontown Blvd
Ste 130A
Sykesville, MD 21784
Phone (410) 356-9208

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1174251797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DISTILLERY RD STE 200",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575344",
            "telephone_number": "410-871-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DISTILLERY RD STE 200",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575344",
            "telephone_number": "410-871-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITMAN",
        "first_name": "SETH",
        "middle_name": "PATRICK",
        "credential": "LCSWC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.