IndividualActive
Rena Tisdale-Davis, LICSW
NPI 1497211833 · Clinical Social Worker · Bowie, MD
Provider details
- NPI number
- 1497211833
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LC50081649 (DC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14909 Health Center Dr Apt 426
Bowie, MD 20716-1093
Phone: (443) 226-8407
Street-level locationGet directions
Mailing address
14909 Health Center Dr Apt 426
Bowie, MD 20716-1093
Registry dates
- Enumerated
- 2019-02-11
- Last updated
- 2019-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.