NPIMap

Organization Active NPI

Easley and Associates LLC

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1013196120
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09465 Issued in MD
Legal business name
EASLEY AND ASSOCIATES LLC
Practice address
507 W Chesapeake Ave
509
Towson, MD 21204-4345
Phone
(443) 519-5752
Fax
(410) 549-0600
NPI assigned
Oct 25, 2007
Last updated
Jan 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Alex J Easley
Title
Manager
Phone
(410) 971-1371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09465 MD Primary

Addresses

Primary practice location

507 W Chesapeake Ave
509
Towson, MD 21204-4345

Mailing address

123 Heritage LN
Sykesville, MD 21784-9418
Phone (410) 971-1371

Other identifiers 1

IdentifierTypeStateIssuer
405288900MedicaidMD

National Provider Directory

National Provider Directory

Locations

305 W Chesapeake Ave
Ste 509
Towson, MD 21204
Phone (443) 519-5752

507 W Chesapeake Ave
#509
Towson, MD 21204
Phone (443) 519-5752

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1013196120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HERITAGE LN",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217849418",
            "telephone_number": "410-971-1371",
            "fax_number": "410-549-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W CHESAPEAKE AVE",
            "address_2": "509",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044345",
            "telephone_number": "443-519-5752",
            "fax_number": "410-549-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASLEY AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "EASLEY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-971-1371",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405288900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.