Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRUCE BERNARD TISDALE, DSW, LICSW, LCSW-C
Active Sole ProprietorMR. BRUCE BERNARD TISDALE, DSW, LICSW, LCSW-C is a Clinical Social Worker healthcare provider located in SUITLAND, Maryland. NPI 1588816490 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SUITLAND, MD
Registration Details
- NPI Number
- 1588816490
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 22, 2008 (17.777242293137 yrs)
- Last Updated
- Jan 17, 2024
- Licenses
-
LC50078990 (DC)LC50078990 (MD)G11619 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5211 AUTH ROAD ST 203SUITLAND, MD, 20746Browse MD providers · Browse ZIP 20746
- Phone
- 2022576632
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Social Worker
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Developmental Disabilities Clinic
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in SUITLAND, MD
| Name | Credential | NPI |
|---|---|---|
| MS. DAWN M ANDERSON | LCSW-C | 1184643918 |
| MS. BENILDA N SHAHEED | LCSW-C, LICSW | 1609944032 |
| MRS. LORETTA DOLORES PETERSON | MSW | 1649309857 |
| MRS. CHRISTINE DAWKINS-BREWSTER | LICSW, LCSW-C, LISW | 1235357278 |
| RHONDA L THOMAS | LCSW | 1902008303 |
| LEEANNA A. BELTON | LICSW | 1609069426 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.