Active NPI
Ebony Nicole Middleton, MSW, LMSW
- Social Worker
- Annapolis, MD
National Provider Identifier
1518566801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 26389
- Practice address
- 900 Bestgate Rd Ste 210
Annapolis, MD 21401-7922 - Phone
- (717) 339-8338
- NPI assigned
- Oct 19, 2020
- Last updated
- Aug 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 26389 | MD | |
| Social Worker | 104100000X | 26389 | MD | Primary |
Addresses
Primary practice location
900 Bestgate Rd Ste 210
Annapolis, MD 21401-7922
Mailing address
12801 Libertys Delight Dr
Bowie, MD 20720-6351
Phone (717) 339-8338
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26389 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1518566801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12801 LIBERTYS DELIGHT DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207206351",
"telephone_number": "717-339-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 BESTGATE RD STE 210",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017922",
"telephone_number": "717-339-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "EBONY",
"middle_name": "NICOLE",
"credential": "MSW, LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-19",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "26389",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "26389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
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- Mid-Atlantic Spinal Rehab & Chiropractic PC
- Angela Miele, DMD
- Miguel R Garden Hernandez MD
- Miguel R Garden Hernandez MD
- Arturo D. Miguel, P.T
- Melissa J Mikami, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.