Bruce Bernard Tisdale, DSW, LICSW, LCSW-C
Clinical Social Worker · Suitland, MD
Bruce Bernard Tisdale, DSW, LICSW, LCSW-C is a clinical social worker with a practice address in Suitland, Maryland, and NPI 1588816490, issued on Oct 22, 2008. Check the license (Maryland G11619, as entered in NPPES) with the Maryland board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Bruce Bernard Tisdale
- Credential
- DSW, LICSW, LCSW-C
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License numbers
- G11619 MD
LC50078990 MD
LC50078990 DC
Self-reported in NPPES; status is on the state search - Practice location
- 5211 Auth Road St 203, Suitland, MD 20746
- Phone
- (202) 257-6632
- Enumerated
- Oct 22, 2008
- Record last updated
- Jan 17, 2024
- Medicare enrollment
- Enrolled (PECOS I20120209000108); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 9,007 in Maryland → Look up another NPI →
Verify Bruce Bernard Tisdale in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Maryland board licenses this profession
Search for license G11619Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bruce Bernard Tisdale among 9,007 clinical social worker records in Maryland
Bruce Bernard Tisdale, DSW, LICSW, LCSW-C is one of 9,007 clinical social worker records with a practice address in Maryland. 11% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2008, is newer than 23% of them.
- NPI issued2008 · 23% of these records are older, 74% newer
- In a Medicare fileNo · 11% of these records are
- In the CMS Doctors and Clinicians fileYes · 19% of these records are
- Graduated2004 · median 2006 among the 1,685 with a school on file
- Record last updated2024 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Maryland practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
12 clinical social worker records list a practice address in Suitland
They are 12 of the 256 NPPES records with a practice address in Suitland, and 9,007 clinical social worker records in Maryland. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 9,007 in Maryland → Every provider in Suitland → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Dawn Anderson, LCSW-CSuitland, MD 207461184643918
- Leeanna Belton, LICSWSuitland, MD 207461609069426
- Christine Dawkins-Brewster, LICSW, LCSW-C, LISWSuitland, MD 207461235357278
- Johnny Dotson, LCSWSuitland, MD 207461184284051
- Daniel Ferebee, LCSW-CSuitland, MD 207461033341094
- Mayra Figueroa, LICSWSuitland, MD 207461447671268
- Andrea Francis, MSW, LICSW, LCSW-CSuitland, MD 207461427514678
- Tonia Ingram, LCSW-CCamp Springs, MD 207461356828602
Common questions
What is Bruce Bernard Tisdale, DSW, LICSW, LCSW-C's NPI number?
Bruce Bernard Tisdale, DSW, LICSW, LCSW-C's National Provider Identifier (NPI) is 1588816490, issued on Oct 22, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Bruce Bernard Tisdale, DSW, LICSW, LCSW-C located?
The NPPES record lists a practice address at 5211 Auth Road St 203, Suitland, MD, 20746. Phone: (202) 257-6632. Providers update this record themselves, so call before visiting.
How can I verify Bruce Bernard Tisdale, DSW, LICSW, LCSW-C's license?
NPPES lists Maryland license number G11619, as entered by the provider. Search the Maryland board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.