Alissa D. Eastham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006744A Issued in IN

Practice address

7144 E Virginia St
Suite C
Evansville, IN 47715-9125

Phone

(812) 479-1242

Fax

(812) 479-1330

NPI assigned

May 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aha Now Counseling LLCGroup PAC ID 8123309341, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Aha Now Counseling, LLC

  • Clinical Social Worker
  • Evansville, IN
  • NPI 1174075584
  Medicare reassignment Care Compare group
• Advanced Rehabilitation,Inc.

  • Rehabilitation Clinic/Center
  • Tell City, IN
  • NPI 1154319101
  NPD (past)

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1922533686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477010032",
            "telephone_number": "812-853-9110",
            "fax_number": "812-759-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7144 E VIRGINIA ST",
            "address_2": "SUITE C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477159125",
            "telephone_number": "812-479-1242",
            "fax_number": "812-479-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTHAM",
        "first_name": "ALISSA",
        "middle_name": "D.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006744A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN LCSW LICENSE",
            "identifier": "34006744A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Lynn Easley, BS
• Kierra East
• Easter Seals Rehabilitation Center, Inc
• Easter Seals Rehabilitation Center, Inc.
• Easter Seals Rehabilitation Center, Inc.
• Michael Ray Eatmon, LCSW
• April M Ebert, PT
• Donald W. Eblen, DMD
• Echo Community Health Care Inc
• Echo Community Health Care, Inc

• Clinical Social Worker in Evansville, IN
• Providers in Evansville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.