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ETHLYNNE THOMAS LGSW
NPI 1700209269
Psychiatric Hospital in Baltimore, MD

Active since February 03, 2014PECOS Enrolled
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239(443) 444-3812 Get Directions Write a Review

NPPES record last updated: February 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ethlynne Thomas Lgsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHLYNNE THOMAS LGSW (NPI 1700209269) is an individual psychiatric hospital provider in Baltimore, Maryland, licensed in Maryland (17105) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700209269
Entity TypeIndividualFemale
Primary Taxonomy283Q00000X
Provider Legal NameETHLYNNE THOMASCredential: LGSW
Location Address5601 LOCH RAVEN BLVDBaltimore, MD 21239-2945
Mailing Address5601 Loch Raven BlvdBaltimore, MD 21239-2945
Phone(443) 444-3812
Sole ProprietorYes
Enumeration DateFebruary 3, 2014
✔ NPI 1700209269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in MD · 17105
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
5601 LOCH RAVEN BLVD, Baltimore, MD 21239
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethlynne Thomas Lgsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE L. HOOVER P.A.-C
Physician Assistant
5601 LOCH RAVEN BLVD, BALTIMORE
BALTIMORE, MD 21239
Baltimore City (443) 444-4730
DR. TIFFANI DANIELLE PITTMAN M.D.
Anesthesiology
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-4863
DR. SUJAN THAPALIYA M.D.
Internal Medicine
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (855) 633-0363
SHARAREH SHERRY BADRI M.D.
Internal Medicine (Geriatric Medicine)
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-6100
ALAYNA MARIE BLAZAKIS CRNP
Nurse Practitioner
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-4275
DR. ELIAS K SHAYA M.D.
Psychiatry & Neurology (Psychiatry)
5601 LOCH RAVEN BLVD, RMB 406
BALTIMORE, MD 21239
Baltimore City (410) 532-4540
CANDICE DIOR JORDAN M.D.
Emergency Medicine
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (855) 633-5655
SONJA STANTON RN BSN
Registered Nurse (Gerontology)
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethlynne Thomas's NPI number?

The NPI number for Ethlynne Thomas is 1700209269. It was assigned to this individual provider in the NPPES registry on February 3, 2014.

Where is Ethlynne Thomas located?

Ethlynne Thomas practices at 5601 Loch Raven Blvd, Baltimore, MD 21239. The listed phone number is (443) 444-3812.

What is Ethlynne Thomas's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Is Ethlynne Thomas enrolled in Medicare?

Yes. Ethlynne Thomas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethlynne Thomas was last updated on February 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.