NPIMap

Individual provider Active NPI

Diane R. Soronson, LCSW-C

  • Clinical Social Worker
  • Owings Mills, MD
National Provider Identifier
1659573426
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
03118 Issued in MD
Practice address
9199 Reisterstown Rd
Suite 150-B
Owings Mills, MD 21117-4520
Phone
(410) 356-8260
Fax
(410) 356-8299
NPI assigned
Jun 4, 2007
Last updated
Jan 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 03118 MD Primary

Addresses

Primary practice location

9199 Reisterstown Rd
Suite 150-B
Owings Mills, MD 21117-4520

Mailing address

9199 Reisterstown Rd
Suite 150-B
Owings Mills, MD 21117-4520
Phone (410) 356-8260

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

LicenseStateTypeSpecialty
03118MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Centers of Maryland Past Accepting new patients

Organizations & group practices 1

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1659573426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD",
            "address_2": "SUITE 150-B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174520",
            "telephone_number": "410-356-8260",
            "fax_number": "410-356-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD",
            "address_2": "SUITE 150-B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174520",
            "telephone_number": "410-356-8260",
            "fax_number": "410-356-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORONSON",
        "first_name": "DIANE",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "03118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.