Individual provider Active NPI

Diane Ford Hattox, M.S.W., LCSW-C

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1760662423
Registry record updated Nov 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06055 Issued in MD
Practice address
51 Monroe St
Suite 804
Rockville, MD 20850-2421
Phone
(301) 309-0963
NPI assigned
Nov 11, 2007
Last updated
Nov 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2007

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 06055 MD Primary

Addresses

Primary practice location

51 Monroe St
Suite 804
Rockville, MD 20850-2421

Mailing address

1913 Narrows LN
Silver Spring, MD 20906-1140
Phone (301) 774-4464

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
06055MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1194739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194739200000",
    "number": "1760662423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 NARROWS LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061140",
            "telephone_number": "301-774-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MONROE ST",
            "address_2": "SUITE 804",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502421",
            "telephone_number": "301-309-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTOX",
        "first_name": "DIANE",
        "middle_name": "FORD",
        "name_prefix": "Ms.",
        "credential": "M.S.W., LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-11",
        "last_updated": "2007-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2007; 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.