Lynn Ann Difatta, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13391 Issued in MD

Practice address

1311 Londontown Blvd
Suite 130a
Eldersburg, MD 21784-6454

Phone

(410) 552-0773

Fax

(410) 549-3197

NPI assigned

Aug 22, 2011

Last updated

Aug 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cedar Ridge Counseling Centers, LLCGroup PAC ID 4981649738, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Cedar Ridge Counseling Centers LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eldersburg, MD
  • NPI 1932103926
  Medicare reassignment Care Compare group
• Balanced Resilience Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Eldersburg, MD
  • NPI 1669337226
  NPD (past)
• Cedar Ridge Counseling Centers LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westminster, MD
  • NPI 1962324368
  NPD (past)

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1922388099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1229",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217841229",
            "telephone_number": "410-549-3196",
            "fax_number": "410-549-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 LONDONTOWN BLVD",
            "address_2": "SUITE 130A",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846454",
            "telephone_number": "410-552-0773",
            "fax_number": "410-549-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFATTA",
        "first_name": "LYNN",
        "middle_name": "ANN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dempsey
• Design for Your Soul
• Melinda J Dettmer, LMT
• Deborah Lynn Devincent, LCPC
• Amit Singh Dhanda
• Heidi A Diliberto, LCPC, LCPAT
• Discoveries Counseling and Consulting
• Robert Michael Dobrusin, O.D.
• Claudia Marie Dorsey, CRNP
• DRS Feldman, Perl & Mez (Central Maryland Phototherapy Center)

• Clinical Social Worker in Eldersburg, MD
• Providers in Eldersburg, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.