ETHLYNNE THOMAS LGSW
NPI 1700209269
Psychiatric Hospital in Baltimore, MD
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ethlynne Thomas Lgsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ethlynne Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pasadena, MD 21122
- Reassigned Medicare billing, Maryland and District of Columbia enrollments
- Also billed through NPI 1528899366 (District of Columbia)
- 794 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BALTIMORE, MD 21239
BALTIMORE, MD 21239
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.
Which organization bills Medicare for Ethlynne Thomas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethlynne Thomas reassigns Medicare benefits to Luminis Health Medical Group, LLC (Pasadena, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethlynne Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Ethlynne Thomas, LGSW · NPI 1700209269
Psychiatric Hospital provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since February 3, 2014.
## Identity
- **NPI:** 1700209269 (Entity type: Individual)
- **Enumerated:** February 3, 2014
- **Primary specialty:** Psychiatric Hospital · taxonomy 283Q00000X
- **State license:** 17105 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5601 LOCH RAVEN BLVD, Baltimore, MD 21239-2945
- **Phone:** (443) 444-3812
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Luminis Health Medical Group, LLC (NPI 1063837490, Pasadena, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1700209269) · Data from the CMS NPPES public registry.