Individual provider Active NPI

Lisa Luse, LICSW, LCSW-C

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1548512437
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50079498 Issued in DC
Practice address
6430 Rockledge Dr
Bethesda, MD 20817-1805
Phone
(202) 607-2497
NPI assigned
Oct 3, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17772 MD
Clinical Social Worker 1041C0700X LC50079498 DC Primary

Addresses

Primary practice location

6430 Rockledge Dr
Bethesda, MD 20817-1805

Mailing address

2912 Rittenhouse St NW
Washington, DC 20015-1524
Phone (202) 365-0178

Other practice location 1

4940 Hampden Ln
Bethesda, MD 20814-2945
Phone (202) 607-2497

Other practice location 2

1701 16th St NW
417
Washington, DC 20009-3145
Phone (202) 365-0178

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC50079498DCMDClinical Social Worker
17772MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Luse Therapy Clinical Current Accepting new patients
Lisa Luse Therapy Current Accepting new patients

Locations

4940 Hampden Ln
Bethesda, MD 20814
Phone (202) 607-2497

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": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548512437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 RITTENHOUSE ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200151524",
            "telephone_number": "202-365-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 ROCKLEDGE DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171805",
            "telephone_number": "202-607-2497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4940 Hampden Ln",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208142945",
            "country_code": "US",
            "telephone_number": "202-607-2497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 16th St NW",
            "address_2": "417",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200093145",
            "country_code": "US",
            "telephone_number": "202-365-0178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUSE",
        "first_name": "LISA",
        "credential": "LICSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17772",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.