Michael Ray Eatmon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34001541A Issued in IN

Practice address

2015 Maxwell Ave
Evansville, IN 47711

Phone

(812) 422-7974

Fax

(812) 422-8163

NPI assigned

Jul 17, 2006

Last updated

Apr 25, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Clinical Social Worker

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deaconess Cross Pointe

  • Psychiatric Hospital
  • Evansville, IN
  • NPI 1053318972
  NPD (past)
• Deaconess Cross Pointe Center, LLC

  • Mental Health Counselor
  • Owensboro, KY
  • NPI 1558396689

  Clinical

  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1568489102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 MAXWELL AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47711",
            "telephone_number": "812-422-7974",
            "fax_number": "812-422-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MAXWELL AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47711",
            "telephone_number": "812-422-7974",
            "fax_number": "812-422-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATMON",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001541A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kierra East
• Easter Seals Rehabilitation Center, Inc
• Easter Seals Rehabilitation Center, Inc.
• Easter Seals Rehabilitation Center, Inc.
• Alissa D. Eastham, LCSW
• April M Ebert, PT
• Donald W. Eblen, DMD
• Echo Community Health Care Inc
• Echo Community Health Care, Inc
• Echo Community Health Care, Inc. (Division Street Family Clinic)

• Clinical Social Worker in Evansville, IN
• Providers in Evansville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.

Verify at the official NPI Registry.