Diane Tuttle Ursano, LCSW-C – Clinical Social Worker

Key facts

NPI: 1992973994
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 09629 (MD)
Practice address: 3900 Cleveland St
Kensington, MD 20895-3804
Phone: (301) 942-2519
Fax: (301) 942-3261
NPI assigned: Feb 13, 2008
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
09629	MD	MD	Clinical Social Worker

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	09629	MD	Yes

Addresses

Primary practice location

3900 Cleveland St
Kensington, MD 20895-3804

Mailing address

3900 Cleveland St
Kensington, MD 20895-3804
Phone (301) 942-2519

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 13, 2008.

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1992973994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CLEVELAND ST",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208953804",
            "telephone_number": "301-942-2519",
            "fax_number": "301-942-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CLEVELAND ST",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208953804",
            "telephone_number": "301-942-2519",
            "fax_number": "301-942-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSANO",
        "first_name": "DIANE",
        "middle_name": "TUTTLE",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

All providers in Kensington, MD · Clinical Social Worker in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.