MRS. DIANE SMITH BRISSEY LCSWC
NPI 1407958655
Social Worker - Clinical in Berlin, MD

Active since September 01, 2006Opted out of Medicare · through Jul 1, 2028
124 N MAIN ST, BERLIN, MD 21811(410) 641-4598 Get Directions Write a Review

NPPES record last updated: June 10, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Diane Smith Brissey Lcswc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DIANE SMITH BRISSEY LCSWC (NPI 1407958655) is an individual clinical provider in Berlin, Maryland, licensed in Maryland (08289) and active in the NPI registry since September 2006. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1407958655
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. DIANE SMITH BRISSEYCredential: LCSWC
Location Address124 N MAIN STBerlin, MD 21811-1060
Mailing Address124 N Main St, P.o. Box 925Berlin, MD 21811-1060 · (410) 641-4598
Sole ProprietorNo
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJune 10, 2010
NPI 1407958655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MD · 08289
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.
124 N MAIN ST, Berlin, MD 21811

Other Identifiers 1

Medicaid222731200MD

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mrs. Diane Smith Brissey Lcswc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2026 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2026
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
124 N MAIN ST, STE. C
BERLIN, MD 21811
Social Worker (Clinical)
124 N MAIN ST
BERLIN, MD 21811
Marriage & Family Therapist
124 N MAIN ST, STE. C
BERLIN, MD 21811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Brissey's NPI number?

The NPI number for Diane Brissey is 1407958655. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Diane Brissey located?

Diane Brissey practices at 124 N Main St, Berlin, MD 21811. The listed phone number is (410) 641-4598.

What is Diane Brissey's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Diane Brissey enrolled in Medicare?

No. Diane Brissey has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Diane Brissey accept?

Health plans from Providence Health Plan list Diane Brissey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diane Brissey was last updated on June 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.