Vivien B Deitz, MSW LCSWC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05221 Issued in MD

Practice address

10726 Brewer House Road
North Bethesda, MD 20852-3420

Phone

(301) 770-1111

Fax

(301) 770-0260

NPI assigned

May 1, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Vivien B Deitz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1184890964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10726 BREWER HOUSE ROAD",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523420",
            "telephone_number": "301-770-1111",
            "fax_number": "301-770-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10726 BREWER HOUSE ROAD",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523420",
            "telephone_number": "301-770-1111",
            "fax_number": "301-770-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEITZ",
        "first_name": "VIVIEN",
        "middle_name": "B",
        "credential": "MSW LCSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIEN",
            "last_name": "DEITZ",
            "middle_name": "B",
            "credential": "MSW LCSWC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in North Bethesda, MD
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.