Individual provider Active NPI

Diane Elizabeth Bertran, LCSW-C

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1922642156
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19265 Issued in MD
Practice address
4405 E West Hwy Ste 408
Bethesda, MD 20814-4535
Phone
(301) 966-2268
NPI assigned
Oct 31, 2019
Last updated
Feb 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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 19265 MD Primary

Addresses

Primary practice location

4405 E West Hwy Ste 408
Bethesda, MD 20814-4535

Mailing address

3114 Benton Square Dr
Olney, MD 20832-2539
Phone (301) 966-2268

Other practice location 1

6214 Montrose Rd
Rockville, MD 20852-4119
Phone (301) 966-2268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 19, 2024 through Mar 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19265MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bertran Counseling LLC CurrentSince Feb 13, 2022 Accepting new patients

Locations

4405 East West Hwy
Ste 408
Bethesda, MD 20814
Phone (202) 251-8999

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": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1922642156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 BENTON SQUARE DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322539",
            "telephone_number": "301-966-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 E WEST HWY STE 408",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144535",
            "telephone_number": "301-966-2268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6214 Montrose Rd",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208524119",
            "country_code": "US",
            "telephone_number": "301-966-2268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTRAN",
        "first_name": "DIANE",
        "middle_name": "ELIZABETH",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.