Mr. Bruce Bernard Tisdale, DSW, LICSW, LCSW-C
Mr. Bruce Bernard Tisdale, DSW, LICSW, LCSW-C is a Clinical Social Worker in Suitland, Maryland. Qualified in 2004, 22 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia and Maryland.
- Years since qualifying
- 22
- Licensed in
- DC, MD
- In the registry since
- 2008
- Specialties on file
- 5
What do these letters mean?
- LICSW — Licensed Independent Clinical Social Worker
- The title some states use for an independently practising clinical social worker.
Practice location Address checks out
5211 Auth Road St 203Suitland, MD 20746
Phone: (202) 257-6632
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence G11619 (MD) |
|---|---|
| Developmental Disabilities Clinic/Center | Taxonomy 261QD1600X |
| Mental Health Counselor | Taxonomy 101YM0800X · Licence LC50078990 (DC) |
| Social Worker | Taxonomy 104100000X |
| Clinical Social Worker | Taxonomy 1041C0700X · Licence LC50078990 (MD) |
Record details
| NPI number | 1588816490 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DSW , LICSW , LCSW-C |
| Sole proprietor | Yes |
| NPI enumerated | October 22, 2008 |
| Last updated in NPPES | September 29, 2026 |
| Certification date | January 17, 2024 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 588 |
| Average patient age | 59 |