Individual provider Active NPI

Diana Taylor Livi, LCSW C

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1194833905
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6171 Issued in MD
Practice address
6525 North Charles Street
Suite 136 the Gibson Building
Towson, MD 21204-6872
Phone
(443) 838-6075
Fax
(410) 869-0720
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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 6171 MD Primary

Addresses

Primary practice location

6525 North Charles Street
Suite 136 the Gibson Building
Towson, MD 21204-6872

Mailing address

401 Oak CT
Catonsville, MD 21228-5842
Phone (410) 869-0720

Other identifiers 1

IdentifierTypeStateIssuer
QQ39DTOtherMDCAREFIRST BC AND BS

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
I20101227000211 MD Practitioner - Clinical Social Worker 8921296526 Practice locations: Towson, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

401 Oak CT
Catonsville, MD 21228-5842

6525 N Charles St
Suite 136
Towson, MD 21204-6829
Phone (443) 838-6075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06171MDMDClinical Child & Adolescent Psychologist
6171MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1194833905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 OAK CT",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285842",
            "telephone_number": "410-869-0720",
            "fax_number": "410-869-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 NORTH CHARLES STREET",
            "address_2": "SUITE 136 THE GIBSON BUILDING",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046872",
            "telephone_number": "443-838-6075",
            "fax_number": "410-869-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVI",
        "first_name": "DIANA",
        "middle_name": "TAYLOR",
        "credential": "LCSW C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "6171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC AND BS",
            "identifier": "QQ39DT",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.