Charles Jason Earle, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

37698 Issued in TX

Practice address

7703 N. Lamar Blvd
Suite 225
Austin, TX 78752-1131

Phone

(855) 553-2753

Fax

(855) 553-2753

NPI assigned

Jun 7, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. C. Jason Earle Professional name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Earle

  • Clinical Social Worker
  • Austin, TX
  • NPI 1518330554
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1295173672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SPEEDWAY - UNIT 4671",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78765",
            "telephone_number": "855-553-2753",
            "fax_number": "855-553-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 N. LAMAR BLVD",
            "address_2": "SUITE 225",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521131",
            "telephone_number": "855-553-2753",
            "fax_number": "855-553-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLE",
        "first_name": "CHARLES",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-07",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "37698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C.",
            "last_name": "EARLE",
            "middle_name": "JASON",
            "prefix": "MR.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elza Eapen
• Prakash Samuel Eapen, M.D.
• Ear Specialists of Austin, PLLC
• Sylvia Earl, LPC-ASSOCIATE
• Earle
• Grace Earle
• Normajean Clara Earle, CRNA
• Issac Dawon Earls I
• Earnest Holistic Health
• Mary Jane Earnest, LCSW

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.