Active NPI
Vivien B Deitz LCSW PA
- Clinical Social Worker
- North Bethesda, MD
National Provider Identifier
1649292517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5221
- Legal business name
- VIVIEN B DEITZ LCSW PA
- Practice address
- 10726 Brewer House Road
North Bethesda, MD 20852-3420 - Phone
- (301) 770-1111
- Fax
- (301) 770-0260
- NPI assigned
- Jul 23, 2006
- Last updated
- May 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vivien B Deitz, LCSW PA
- Title
- President
- Phone
- (301) 770-1111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5221 | MD | Primary |
Addresses
Primary practice location
10726 Brewer House Road
North Bethesda, MD 20852-3420
Mailing address
10726 Brewer House Road
North Bethesda, MD 20852-3420
Phone (301) 770-1111
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- North Bethesda, MD
- NPI 1184890964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211241600000",
"number": "1649292517",
"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": {
"organization_name": "VIVIEN B DEITZ LCSW PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2008-05-20",
"status": "A",
"authorized_official_last_name": "DEITZ",
"authorized_official_first_name": "VIVIEN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-770-1111",
"authorized_official_credential": "LCSW PA"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "5221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Bethesda, MD
Sources for this page
- 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.