Bruce Tisdale, DSW, LICSW, LCSW-C

NPI: 1588816490

Bruce Tisdale, DSW, LICSW, LCSW-C

Q: What is Bruce Tisdale's NPI number?

Bruce Tisdale's NPI number is 1588816490, a unique 10-digit identifier issued by CMS.

Q: What does Bruce Tisdale specialize in?

Bruce Tisdale specializes in Mental Health Counselor, taxonomy code 101YM0800X.

Q: Where does Bruce Tisdale practice?

Bruce Tisdale practices in Suitland, MD 20746.

Q: When was Bruce Tisdale's NPI issued?

Bruce Tisdale's NPI was issued on October 22, 2008.

Q: What is Bruce Tisdale's provider type?

Bruce Tisdale is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderMental Health Counselor

NPI issued: October 22, 2008

Quick Facts

NPI Number

1588816490

TypeIndividual

StatusActive

SpecialtyMental Health Counselor

Taxonomy101YM0800X — Mental Health Counselor

Phone

(202) 257-6632

StateMD

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1588816490)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (October 22, 2008)

Data source: CMS NPPES

Provider Overview

BRUCE TISDALE, DSW, LICSW, LCSW-C is a Mental Health Counselor provider based in Suitland, MD who has been registered with CMS since 2008. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1588816490

Provider TypeIndividual Provider

GenderMale

CredentialDSW, LICSW, LCSW-C

StatusActive

Enumeration DateOctober 22, 2008

Practice Location

CitySuitland

StateMD

ZIP Code20746

Phone(202) 257-6632

Specialties & Licenses

★ Primary

SpecialtyMental Health Counselor

Taxonomy Code101YM0800X

License StateMD

Mailing Address

CitySuitland

StateMD

ZIP Code20746

Phone(202) 257-6632

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1588816490 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1588816490for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1588816490 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Mental Health Counselor

Mental Health Counselors diagnose and treat mental and emotional disorders, helping clients cope with life challenges, anxiety, depression, relationship issues, and overall mental wellness.

Browse all Mental Health Counselorproviders →

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Mental Health Counselor Providers in the US