Active NPI
Dyanne Dunlap, LGSW
- Social Worker
- Baltimore, MD
National Provider Identifier
1780175042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LG50082947
- Practice address
- 5923 Western Run Dr Apt C
Baltimore, MD 21209-4044 - Phone
- (856) 304-7870
- NPI assigned
- May 22, 2018
- Last updated
- Oct 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LG50082947 | DC | Primary |
| Clinical Social Worker | 1041C0700X | 23209 | MD |
Addresses
Primary practice location
5923 Western Run Dr Apt C
Baltimore, MD 21209-4044
Mailing address
5923 Western Run Dr Apt C
Baltimore, MD 21209-4044
Phone (856) 304-7870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38-3876389 | Medicaid | MD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG50082947 | DC | MD | Social Worker |
| 23209 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Power Counseling PLLC | Clinical | 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.
-
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- Waldorf, MD
- NPI 1932658242
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1780175042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5923 WESTERN RUN DR APT C",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212094044",
"telephone_number": "856-304-7870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5923 WESTERN RUN DR APT C",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212094044",
"telephone_number": "856-304-7870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLAP",
"first_name": "DYANNE",
"credential": "LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-22",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LG50082947",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "23209",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38-3876389",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.