Individual provider Active NPI

Elizabeth Jane Parker-O'Brien, MSW

  • Clinical Social Worker
  • Easton, MD
National Provider Identifier
1679558910
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13193 Issued in MD
Practice address
7656 Woodland Dr
Easton, MD 21601-8140
Phone
(410) 443-1039
NPI assigned
Dec 9, 2005
Last updated
Feb 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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 13193 MD Primary

Addresses

Primary practice location

7656 Woodland Dr
Easton, MD 21601-8140

Mailing address

7656 Woodland Dr
Easton, MD 21601-8140
Phone (410) 443-1039

Other identifiers 2

IdentifierTypeStateIssuer
PO6423OtherMABLUE CROSS/BLUE SHIELD
1857282MedicaidMA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Neuroscience Research Associates, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1679558910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7656 WOODLAND DR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216018140",
            "telephone_number": "410-443-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7656 WOODLAND DR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216018140",
            "telephone_number": "410-443-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER-O'BRIEN",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "PO6423",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1857282",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.