Organization Active NPI

Lisamarie Eustice, LLC

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1558695338
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13843 Issued in MD
Legal business name
LISAMARIE EUSTICE, LLC
Practice address
4829 West LN
Bethesda, MD 20814-5317
Phone
(301) 802-5697
NPI assigned
Sep 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Ms. Lisamarie Eustice, LCSW-C
Title
Clinician/Business Co-Owner
Phone
(301) 802-5697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 13843 MD Primary

Addresses

Primary practice location

4829 West LN
Bethesda, MD 20814-5317

Mailing address

4829 West LN
Bethesda, MD 20814-5317
Phone (301) 802-5697

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1558695338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 WEST LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145317",
            "telephone_number": "301-802-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 WEST LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145317",
            "telephone_number": "301-802-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISAMARIE EUSTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "EUSTICE",
        "authorized_official_first_name": "LISAMARIE",
        "authorized_official_title_or_position": "CLINICIAN/BUSINESS CO-OWNER",
        "authorized_official_telephone_number": "301-802-5697",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13843",
            "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 Oct 18, 2012; 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.