Organization Active NPI

Vivien B Deitz LCSW PA

  • Clinical Social Worker
  • North Bethesda, MD
National Provider Identifier
1649292517
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5221 Issued in MD
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Vivien B Deitz, LCSW PANPI 1184890964
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.