Doctor profile · Federal record
Dr. Bruce Tisdale, DSW, LICSW, LCSW-C
Clinical Social Worker · Mental Health Counselor · Social Worker · Clinical Social Worker · Developmental Disabilities Clinic/Center · Suitland, MD
- NPI 1588816490
- 18 yrs on file
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
5211 Auth Road St 203
Suitland, MD 20746
(202) 257-6632 - Mailing address
-
5805 McIntosh Pl
Brandywine, MD 206137795
Credentials & registration
- NPI registered
- October 2008 — 18 yrs on file
- Profile last updated
- January 17, 2024
- Specialty taxonomy
- 1041C0700X — NUCC code
- State licenses (3)
- Maryland #G11619 · District of Columbia #LC50078990 · Maryland #LC50078990
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1588816490. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
202
Distinct HCPCS
1
Medicare allowed
$22,453
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
90837 |
Psychotherapy, 1 hour | 202 | 21 | $111 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 202. This provider delivers 1.0× the peer median.Frequently asked questions
What is Dr. Bruce Tisdale's medical specialty?
Dr. Bruce Tisdale practices Clinical Social Worker in Suitland, MD.
Where does Dr. Bruce Tisdale practice?
Dr. Bruce Tisdale practices at 5211 Auth Road St 203, Suitland, MD 20746. Office phone: 2022576632.
What is Dr. Bruce Tisdale's NPI?
Dr. Bruce Tisdale's National Provider Identifier (NPI) is 1588816490, issued by NPPES.
What procedures does Dr. Bruce Tisdale commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90837). Source: CMS Medicare Physician & Other Practitioners file.