Wayne M Easter, LCSW, CSAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007328 Issued in VA

Practice address

5265 Providence Rd.
Suite 500
Virginia Beach, VA 23464-4445

Phone

(757) 354-5379

NPI assigned

Jul 7, 2009

Last updated

May 4, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fairfield Psychological Assoc.

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1801068606

  Clinical

  NPD (past)

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1891924247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5265 PROVIDENCE RD STE 500",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644210",
            "telephone_number": "757-467-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5265 PROVIDENCE RD.",
            "address_2": "SUITE 500",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644445",
            "telephone_number": "757-354-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTER",
        "first_name": "WAYNE",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102403",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Payne Eason, OT/L
• Toshiba Eason
• East Arena Therapy, PLLC
• East Coast Centre for Cosmetic Dentistry and Facial Aesthetics
• Martina Lenora Easter
• Karin Audra Easterling, CPNP-PC
• Eastern Virginia Hand Center
• Carson Easton, RN
• Maura Colleen Eaton, N.P.
• Phyllis Marie Eaton, PHD, RN, PMHCNS-BC

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.