Edward L. Mislak, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

08156 Issued in MD

Legal business name

EDWARD L. MISLAK, LLC

Practice address

801 Chance CT
Street, MD 21154-1648

Phone

(410) 893-7217

Fax

(410) 893-7217

NPI assigned

Dec 26, 2012

Last updated

Dec 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward Leo Mislak, LCSW-CNPI 1922144203

Title

Clinical Social Worker

Phone

(410) 893-7217

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Edward Leo Mislak, MSW LCSWC CACAD

  • Social Worker
  • Street, MD
  • NPI 1922144203
  Authorized official Same address or phone
• Shana Janine Mislak, MSW LCSW C CCDC

  • Clinical Social Worker
  • Street, MD
  • NPI 1609099654
  NPD (past)

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1154667988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 CHANCE CT",
            "city": "STREET",
            "state": "MD",
            "postal_code": "211541648",
            "telephone_number": "410-893-7217",
            "fax_number": "410-893-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CHANCE CT",
            "city": "STREET",
            "state": "MD",
            "postal_code": "211541648",
            "telephone_number": "410-893-7217",
            "fax_number": "410-893-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD L. MISLAK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "MISLAK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "410-893-7217",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031101400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarence Edwin Becraft Jr., M.D.
• Sherri Leigh Blevins, MS
• Chesapeake EMS of Maryland Inc.
• Complete Mobile Diagnostics LLC
• Mary Beth Creighton, M.S., O.T./L
• Rachael Lynn Guzman
• Harford County Counseling Services, LLC.
• Peter Johnson, AA-C, PA-C
• Edward Leo Mislak, MSW LCSWC CACAD
• Shana Janine Mislak, MSW LCSW C CCDC

• Clinical Social Worker in Street, MD
• Providers in Street, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.