Active NPI
Wala Neh Aaron Labala, LCSW-C
- Clinical Social Worker
- Easton, MD
National Provider Identifier
1396832010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14828
- Practice address
- 29520 Canvasback Dr
Easton, MD 21601-7124 - Phone
- (410) 822-5007
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14828 | MD | Primary |
Addresses
Primary practice location
29520 Canvasback Dr
Easton, MD 21601-7124
Mailing address
2336 Goddard Pkwy
Salisbury, MD 21801-1126
Phone (410) 334-6961
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 517251 | Other | UHC MAMSI GROUP | |
| 609500300 | Medicaid | MD | |
| 609500301 | Medicaid | MD | |
| R968-0045 | Other | MD | BCBS-FEDERAL |
| 609550002 | Medicaid | MD | |
| 959421-01 | Other | MD | BCBS-LOCAL |
| 259147000 | Other | MD | MAGELLAN GROUP |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
29315 Erickson Dr
Easton, MD 21601-8651
Phone (410) 690-8181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace of Mind Mental Health Services LLC | Clinical | Current | Accepting new patients |
| Eastern Shore Psychological Service, LLC | Past | Accepting new patients |
Locations
29315 Erickson Dr
Easton, MD 21601
Phone (410) 690-8181
8614 Ocean Gtwy
Ste 4
Easton, MD 21601
Phone (410) 690-8181
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.
-
- Community/Behavioral Health Agency
- Princess Anne, MD
- NPI 1730252537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1396832010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2336 GODDARD PKWY",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218011126",
"telephone_number": "410-334-6961",
"fax_number": "410-334-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29520 CANVASBACK DR",
"city": "EASTON",
"state": "MD",
"postal_code": "216017124",
"telephone_number": "410-822-5007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABALA",
"first_name": "WALA NEH",
"middle_name": "AARON",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "14828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC MAMSI GROUP",
"identifier": "517251",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609500300",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609500301",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-FEDERAL",
"identifier": "R968-0045",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609550002",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-LOCAL",
"identifier": "959421-01",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN GROUP",
"identifier": "259147000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.