Individual provider Active NPI

Ashley Marie Buck, LCSW

  • Clinical Social Worker
  • Du Bois, PA
National Provider Identifier
1013469600
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021637 Issued in PA
Practice address
30 W Park Ave
Du Bois, PA 15801-2452
Phone
(814) 771-5254
NPI assigned
Oct 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW133530 PA
Clinical Social Worker 1041C0700X CW021637 PA Primary

Addresses

Primary practice location

30 W Park Ave
Du Bois, PA 15801-2452

Mailing address

PO Box 564
Hyde, PA 16843-0564
Phone (814) 771-5254

Other practice location 1

190 Match Factory Pl
Bellefonte, PA 16823-1367
Phone (814) 353-1487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW133530PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Caring Healthcare Network Current Accepting new patients
Caring Healthcare Network CurrentSince Feb 24, 2021 Accepting new patients
Caring Healthcare Network CurrentSince Feb 24, 2021 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Dec 10, 2022 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

100 Chestnut Ave
Altoona, PA 16601
Phone (814) 201-5266

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

18 N Front St
Philipsburg, PA 16866
Phone (814) 201-5266

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

Networks

  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8

Interoperability endpoints

  • Direct secure messaging: ashleybuck@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1477699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1013469600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 564",
            "city": "HYDE",
            "state": "PA",
            "postal_code": "168430564",
            "telephone_number": "814-771-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W PARK AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012452",
            "telephone_number": "814-771-5254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Match Factory Pl",
            "address_purpose": "LOCATION",
            "city": "Bellefonte",
            "state": "PA",
            "postal_code": "168231367",
            "country_code": "US",
            "telephone_number": "814-353-1487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCK",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-29",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW133530",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.