Elma B Alston, LCSW-C
Individual provider Active NPI Clinical Social Worker · Largo, MD
NPI 1629300488 · NPPES record last updated May 28, 2021
Key facts
- NPI
- 1629300488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 09792 (MD)
- Practice address
- 1221 Mercantile LN
Kaiser Permanente Largo Medical Center
Largo, MD 20774-5374 - Phone
- (301) 618-5500
- NPI assigned
- Feb 4, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Practice addresses (Care Compare)
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in DC, MD, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141217000220 | DC | Practitioner - Clinical Social Worker | 9739402108 | Reassigns benefits to 2 organizations |
| I20231122003180 | MD | Practitioner - Clinical Social Worker | 9739402108 | Reassigns benefits to 1 organization |
| I20231204001512 | VA | Practitioner - Clinical Social Worker | 9739402108 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Sondermind Provider Network LLC | Clinical | Current |
Accepting new patients |
Locations
601 Pennsylvania Ave NW
Ste 900
Washington, DC 20004
Phone (240) 586-3538
1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891
2101 E Jefferson St
Ste 6
Rockville, MD 20852
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 09792 | MD | Yes |
Addresses
Primary practice location
1221 Mercantile LN
Kaiser Permanente Largo Medical Center
Largo, MD 20774-5374
Mailing address
7225 Burning Timber LN
Owings, MD 20736-3036
Phone (240) 506-5076
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) | |
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Other providers in Largo, MD
- Mazin Ali
- Align360 Integrated Health Clinic LLC
- Align360 Integrated Health Clinic LLC
- Alive Consulting Solutions, LLC
- Alphonzo L. Davidson Sr,D.D.S.,PA
- Sheena T Alston
- Juana Alvarado
- Amachi Foundation LLC
- Ambitious Single Mothers, Inc
- Olivia Cynthia Ambursley-Gries
All providers in Largo, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.