Individual provider Active NPI

Susan K Eakins, LCSWC

  • Social Worker
  • Centreville, MD
National Provider Identifier
1073581187
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
08114 Issued in MD
Practice address
120 Banjo LN
Centreville, MD 21617-1002
Phone
(410) 758-2211
Fax
(410) 758-0698
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 08114 MD Primary

Addresses

Primary practice location

120 Banjo LN
Centreville, MD 21617-1002

Mailing address

120 Banjo LN
Centreville, MD 21617-1002
Phone (410) 758-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051018000775 MD Practitioner - Clinical Social Worker 0648296715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midshore Mental HealthGroup PAC ID 4284084906, 2 clinicians

Practice addresses (Care Compare)

8133 Elliott Rd
Suite 102
Easton, MD 21601-7184
Phone (410) 822-2141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midshore Mental Health CurrentSince Oct 8, 2024 Accepting new patients
For All Seasons, Inc CurrentSince Feb 5, 2016 Accepting new patients
For All Seasons, Inc. Past Accepting new patients

Locations

208 Cedar St
Cambridge, MD 21613
Phone (410) 476-4441

300 Talbot St
Easton, MD 21601

8133 Elliott Rd
Ste 102
Easton, MD 21601
Phone (410) 822-2141

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1073581187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BANJO LN",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216171002",
            "telephone_number": "410-758-2211",
            "fax_number": "410-758-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BANJO LN",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216171002",
            "telephone_number": "410-758-2211",
            "fax_number": "410-758-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAKINS",
        "first_name": "SUSAN",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "08114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, MD

Sources for this page

Verify at the official NPI Registry.