Individual provider Active NPI

Elizabeth Rose Easter, MSW, LCSW

  • Clinical Social Worker
  • Huntersville, NC
National Provider Identifier
1962997981
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C013224 Issued in NC
Practice address
16511 Northcross Dr Ste B&C
Huntersville, NC 28078-5021
Phone
(704) 877-7503
Fax
(980) 326-2392
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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 C013224 NC Primary

Addresses

Primary practice location

16511 Northcross Dr Ste B&C
Huntersville, NC 28078-5021

Mailing address

16511 Northcross Dr Ste B&C
Huntersville, NC 28078-5021
Phone (704) 877-7503

Other practice location 1

2129 Statesville Blvd
Salisbury, NC 28147-1411
Phone (704) 633-3616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C013224NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Grimes, LCSW PLLC Clinical PastSince Apr 11, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1962997981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16511 NORTHCROSS DR STE B&C",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785021",
            "telephone_number": "704-877-7503",
            "fax_number": "980-326-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16511 NORTHCROSS DR STE B&C",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785021",
            "telephone_number": "704-877-7503",
            "fax_number": "980-326-2392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2129 Statesville Blvd",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281471411",
            "country_code": "US",
            "telephone_number": "704-633-3616",
            "fax_number": "704-633-5902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASTER",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.