Individual provider Active NPI

Ethan Thomas Strauss, LGSW

  • Clinical Social Worker
  • Aberdeen, MD
National Provider Identifier
1629385505
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16233 Issued in MD
Practice address
135 N Parke St
Aberdeen, MD 21001-2428
Phone
(443) 625-1600
NPI assigned
Sep 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16233 MD Primary

Addresses

Primary practice location

135 N Parke St
Aberdeen, MD 21001-2428

Mailing address

230 S Collington Ave
Baltimore, MD 21231-2627
Phone (240) 620-1403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16233MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strauss Family Therapeutic Services Clinical Current Accepting new patients
Oic Counseling Services, Inc. CurrentSince Apr 1, 2018 Accepting new patients

Locations

336 S Main St
Ste 1C
Bel Air, MD 21014
Phone (410) 836-0820

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.

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1629385505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S COLLINGTON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212312627",
            "telephone_number": "240-620-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N PARKE ST",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012428",
            "telephone_number": "443-625-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUSS",
        "first_name": "ETHAN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LGSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

Verify at the official NPI Registry.