Mr. Bruce Bernard Tisdale
DSW, LICSW, LCSW-C
Social Worker - Clinical
About Mr. Bruce Bernard Tisdale
Mr. Bruce Bernard Tisdale, DSW, LICSW, LCSW-C, is a male healthcare professional specializing in Social Worker - Clinical with a focus on Clinical, registered under National Provider Identifier (NPI) number 1588816490.
Mr. Bruce Bernard Tisdale received his medical education at OTHER, graduating in 2004. Their primary practice is located at 5211 AUTH ROAD ST 203, Suitland, Maryland 20746. Patients can reach the office at (202) 257-6632.
Mr. Bruce Bernard Tisdale is enrolled in Medicare and accepts Medicare patients, offers telehealth services for remote virtual consultations, is authorized to order and refer Medicare services. Mr. Bruce Bernard Tisdale has been NPI-registered since 2008.
Key Metrics
Practice Locations
1
Doctor Details
Identity & Credentials
- NPI Number
- 1588816490
- Entity Type
- Individual
- First Name
- Bruce
- Last Name
- Tisdale
- Credential
- DSW, LICSW, LCSW-C
- Gender
- Male
- Medical School
- OTHER
- Graduation Year
- 2004
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 5211 AUTH ROAD ST 203
- City
- Suitland
- State
- Maryland
- ZIP
- 20746
- Country
- United States
- Phone
- (202) 257-6632
Specialty & Taxonomy
- Primary Specialty
- Social Worker - Clinical
- Classification
- Social Worker
- Specialization
- Clinical
- Taxonomy Code
- 1041C0700X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 5805 MCINTOSH PL
- City
- BRANDYWINE
- State
- MD
- ZIP
- 206137795
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- Yes
- Excluded
- No
Frequently Asked Questions
What is Mr. Bruce Bernard Tisdale's NPI number?
What does Mr. Bruce Bernard Tisdale specialize in?
Where is Mr. Bruce Bernard Tisdale located?
Does Mr. Bruce Bernard Tisdale accept Medicare?
Does Mr. Bruce Bernard Tisdale offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Bruce Bernard Tisdale is 1588816490.