Karen N Ealy, M.S., CSW, CSAC, ICS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1944-132 Issued in WI

Practice address

10045 W Lisbon Ave
Suite 221
Wauwatosa, WI 53222-2446

Phone

(414) 358-7999

Fax

(414) 358-7158

NPI assigned

Feb 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1851426332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7665 N BERWYN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532091803",
            "telephone_number": "414-351-0242",
            "fax_number": "414-351-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10045 W LISBON AVE",
            "address_2": "SUITE 221",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532222446",
            "telephone_number": "414-358-7999",
            "fax_number": "414-358-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EALY",
        "first_name": "KAREN",
        "middle_name": "N",
        "credential": "M.S., CSW, CSAC, ICS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1944-132",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "4768-120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39370400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Dunning, LCSW
• Brittany Marie Duzeski
• Omar Dyara
• Jacob Dyer, PHARMD
• Gerald F Eagan, D.D.S
• Mariam Ebeid
• Cynthia L Ebenhoch, DDS
• Michelle M. Echols, LPC
• Nerise Eddy, DO
• Precious Edebiri

• Addiction (Substance Use Disorder) Counselor in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.