Pisano, Diane
Pisano, Diane is an individual health care provider with primary practice located at 14300 Gallant Fox Ln Suite 107, Bowie MD 20715-4003. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Pisano, Diane can be contacted via phone (301) 805-5124.Contact Information
Primary practice address
14300 Gallant Fox Ln Suite 107
Bowie MD 20715-4003
Phone: (301) 805-5124
Fax: (301) 805-1351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | O6414 | Maryland |
Profile Details
| NPI number | 1083780779 |
|---|---|
| LBN Legal business name | Pisano, Diane |
| Credentials | LCSW C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Sep 18th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083780779 | NPPES |
| Maryland | MEDICAID | 146561900 |
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