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Mr. Bruce Bernard Tisdale, DSW,LICSW,LCSW-C
Clinical Social Worker in Suitland, Maryland
NPI 1588816490

Bruce Bernard Tisdale is a Clinical Social Worker based in Brandywine, MD and is specialized in Clinical. Bruce Bernard Tisdale practices in Suitland, MD and has the professional credentials of DSW,LICSW,LCSW-C. The NPI Number for Bruce Bernard Tisdale is 1588816490 and holds a License No. LC50078990 (Maryland).

The current practice location address for Bruce Bernard Tisdale is 5211 Auth Road St 203, Suitland, MD and can be reached out via phone at 202-257-6632.

Location: 5211 Auth Road St 203, Suitland, MD, 20613-7795
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588816490
Provider Name
Bruce Bernard Tisdale
Credential
DSW,LICSW,LCSW-C
Provider Entity Type
Individual
Gender
Male
Address
5211 Auth Road St 203, Suitland, MD, 20613-7795
Phone Number
202-257-6632
Fax Number
Provider Enumeration Date
10/22/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5211 Auth Road St 203
City
Suitland
State
Maryland
Zip
20746
Phone Number
202-257-6632
Fax Number
person
Provider Business Mailing Address Details
Address
5211 Auth Road St 203
City
Suitland
State
Maryland
Zip
20746
Phone Number
202-257-6632
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
LC50078990 (Maryland)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
LC50078990 (District of Columbia)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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