Individual provider Active NPI

Betty Anne Eastland, LMSW

  • Social Worker
  • Yonkers, NY
National Provider Identifier
1134721699
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
106449 Issued in NY
Practice address
20 S Broadway Ste 402
Yonkers, NY 10701-3723
Phone
(914) 345-5900
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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 106449 NY Primary

Addresses

Primary practice location

20 S Broadway Ste 402
Yonkers, NY 10701-3723

Mailing address

580 White Plains Rd Ste 510
Tarrytown, NY 10591-5152
Phone (914) 345-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106449NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Mental Health Association of Westchester County, Inc. CurrentSince Nov 15, 2020 Accepting new patients
The Mental Health Association of Westchester County - Social Care Network PastSince Nov 15, 2020 Accepting new patients

Locations

580 White Plains Rd
Ste 510
Tarrytown, NY 10591
Phone (518) 312-6335

20 S Broadway
Ste 402
Yonkers, NY 10701
Phone (914) 269-1550

Organizations & group practices 2

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": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1134721699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 WHITE PLAINS RD STE 510",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915152",
            "telephone_number": "914-345-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S BROADWAY STE 402",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107013723",
            "telephone_number": "914-345-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTLAND",
        "first_name": "BETTY",
        "middle_name": "ANNE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "106449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.