IndividualActive
Ebon Alley, LICSW
NPI 1265427868 · Social Worker · Fe Warren Afb, WY
Provider details
- NPI number
- 1265427868
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- No
- License
- 11902 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6900 Alden Dr
90 Mdg
Fe Warren Afb, WY 82005-3906
Phone: (307) 773-2998
Fax: (307) 773-4721
Street-level locationGet directions
Mailing address
7924 Siringo Pass
Austin, TX 78749-2727
Registry dates
- Enumerated
- 2005-09-20
- Last updated
- 2012-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.