Active NPI
Marlene J Dunsmore, LCSW-C
- Clinical Social Worker
- Gaithersburg, MD
National Provider Identifier
1356480925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 07859
- Practice address
- 610 E Diamond Ave
Gaithersburg, MD 20877-5321 - Phone
- (301) 840-3200
- Fax
- (301) 840-1348
- NPI assigned
- Feb 6, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 07859 | MD | Primary |
Addresses
Primary practice location
610 E Diamond Ave
Gaithersburg, MD 20877-5321
Mailing address
610 E Diamond Ave
Gaithersburg, MD 20877-5321
Phone (301) 840-3200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 531125-03 | Other | CAREFIRST | |
| A1550053 | Other | BLUE CROSS FEDERAL | |
| 2122649 | Other | UNITED HEALTHCARE |
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 |
|---|---|---|---|
| 07859 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356480925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 E DIAMOND AVE",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208775321",
"telephone_number": "301-840-3200",
"fax_number": "301-840-1348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 E DIAMOND AVE",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208775321",
"telephone_number": "301-840-3200",
"fax_number": "301-840-1348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNSMORE",
"first_name": "MARLENE",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "07859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "531125-03",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS FEDERAL",
"identifier": "A1550053",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2122649",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.