EBON SCOTT ALLEY LICSW NPI 1265427868

Social Worker in Fe Warren Afb, WY

NPI 1265427868 Individual Male Social Worker PECOS Enrolled

About EBON ALLEY

Ebon Alley is a provider established in Fe Warren Afb, Wyoming and his medical specialization is social worker. The NPI number of Ebon Alley is 1265427868 and was assigned on September 2005. The practitioner's primary taxonomy code is 104100000X with license number 11902 (MA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

A social worker like Ebon Scott Alley Licsw helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

Ebon Alley is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Ebon Alley is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1265427868

Provider Name EBON SCOTT ALLEY LICSW
Provider Location Address6900 ALDEN DR 90 MDG FE WARREN AFB, WY 82005
Provider Mailing Address7924 SIRINGO PASS AUSTIN, TX 78749
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-20-2005
Last Update Date03-09-2012


Primary Taxonomy

Taxonomy Code104100000X
ClassificationSocial Worker
TypeBehavioral Health & Social Service Providers
License No.11902
License StateMA
Taxonomy DescriptionA social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Business Address

EBON SCOTT ALLEY LICSW
6900 ALDEN DR
90 MDG
FE WARREN AFB, WY
ZIP 82005
Phone: (307) 773-2998
Fax: (307) 773-4721

Get Directions


Mailing Address

EBON SCOTT ALLEY LICSW
7924 SIRINGO PASS
AUSTIN, TX
ZIP 78749
Phone:



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
VAD000MEDICARE UPIN (02)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295728756DR. TEDDY LYNN ELLIS D.D.S.
Individual
Dentist (General Practice)6900 ALDEN DR
FT WARREN AFB, WY 82005
(402) 651-1386
1679567499MR. EVAN EARLE KELLEY MSPT, OCS
Individual
Specialist6900 ALDEN DR
CHEYENNE, WY 82005
(307) 773-3406
1316932916 HALLIE DENISE LANDRETH PH D
Individual
Psychologist (Clinical)6900 ALDEN DR 90 MDG
FE WARREN AFB, WY 82005
(307) 773-2998
1962497578 BRADLEY EUGENE RAUSCH DDS
Individual
Dentist6900 ALDEN DR
FE WARREN AFB, WY 82005
(307) 773-1849
1871588483 DAN R GREENHALGH DMD
Individual
Dentist6900 ALDEN DR 90 MDG
FE WARREN AFB, WY 82005
(307) 773-1846
1730174343 RANDALL JAMES NETT MD
Individual
Family Medicine6900 ALDEN DR 90 MDG
FE WARREN AFB, WY 82005
(307) 773-3461
1265421077 JASON NOEL WHITING DDS
Individual
Dentist (General Practice)6900 ALDEN DR 90TH MEDICAL GROUP
FE WARREN AFB, WY 82005
(307) 773-2539
1891784450DR. STEVEN EDWARD PFLANZ MD
Individual
Psychiatry & Neurology (Psychiatry)6900 ALDEN DR
CHEYENNE, WY 82005
(307) 773-5732
1952382822 ROBERT WADE WASHBURN PA
Individual
Physician Assistant (Medical)6900 ALDEN DR 90 MDG
FE WARREN AFB, WY 82005
(307) 773-3461
1902887698MS. JEANETTE JOAN LYNCH LCSW
Individual
Social Worker6900 ALDEN DR 90 MDG
FE WARREN AFB, WY 82005
(307) 773-3461
1912979014 RONALD LYNN PEVETO MD
Individual
Preventive Medicine (Aerospace Medicine)6900 ALDEN DR ATTN: 90 MDG/SGP - CHIEF, AEROSPACE MEDICINE
F.E. WARREN AFB, WY 82005
(307) 773-5732
1447359278DR. BRIAN PATRICK HAYES MD, MPH
Individual
Preventive Medicine (Aerospace Medicine)6900 ALDEN DR
FT WARREN AFB, WY 82005
(307) 773-2277
1083709588DR. JAMES LOUIS KRETZSCHMAR DDS
Individual
Dentist (General Practice)6900 ALDEN DR
FT WARREN AFB, WY 82005
(307) 773-1846
1184711905 LEIGH ALEXANDRA SWANSON MD
Individual
Family Medicine6900 ALDEN DR
F.E.WARREN AFB, WY 82005
(307) 773-5730
1467521955MR. WYATT JEROME KRAMER PA-C
Individual
Physician Assistant6900 ALDEN DR
CHEYENNE, WY 82005
(307) 773-2359
1316084239 PEGGY SUE KENYON RDH
Individual
Dental Hygienist6900 ALDEN DR
FT WARREN AFB, WY 82005
(307) 773-1846
1073711222DR. KOLLAN PARKER ARRITT O.D.
Individual
Optometrist6900 ALDEN DR
FT WARREN AFB, WY 82005
(307) 481-2565
1003044637 JEREMY JONES IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)6900 ALDEN DR 90 MDG/MDOS
CHEYENNE, WY 82005
(307) 773-2359
1336378124 THOR HAUFF FNP-C
Individual
Nurse Practitioner (Family)6900 ALDEN DR
FT WARREN AFB, WY 82005
(307) 773-3733
1154653053DR. JAMES L BARBER DDS
Individual
Dentist6900 ALDEN DR
FT WARREN AFB, WY 82005
(307) 773-1846

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.