Active NPI
Ethan Thomas Strauss, LGSW
- Clinical Social Worker
- Aberdeen, MD
National Provider Identifier
1629385505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16233
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16233 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strauss Family Therapeutic Services | Clinical | Current | Accepting new patients |
| Oic Counseling Services, Inc. | Current | 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.
-
- Clinical Social Worker
- Bel Air, MD
- NPI 1861250714
-
- Point of Service
- Bel Air, MD
- NPI 1942577622
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.