Provider Demographics
NPI:1205041548
Name:ONSTED, DIANN KAY (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:DIANN
Middle Name:KAY
Last Name:ONSTED
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9201 MOULTRIE PKWY
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-4362
Mailing Address - Country:US
Mailing Address - Phone:301-452-8787
Mailing Address - Fax:301-299-2216
Practice Address - Street 1:9201 MOULTRIE PKWY
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-4362
Practice Address - Country:US
Practice Address - Phone:301-452-8787
Practice Address - Fax:301-299-2216
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11310102L00000X
DCLC50077735102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCK513-0001OtherBLUECROSS-DC
MD645-60501OtherBLUECROSS PIN-MD
DCK513-0001OtherBLUECROSS-DC