Individual provider Active NPI

Christine Mary Ashmore, LICSW

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1033178991
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007001 Issued in NC
Practice address
103 Windhover PL
Chapel Hill, NC 27514-5151
Phone
(919) 240-4538
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1024829 MA
Clinical Social Worker 1041C0700X C007001 NC Primary

Addresses

Primary practice location

103 Windhover PL
Chapel Hill, NC 27514-5151

Mailing address

103 Windhover PL
Chapel Hill, NC 27514-5151
Phone (919) 240-4538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050822000701 MA Practitioner - Clinical Social Worker 6608807490 Reassigns benefits to 1 organization
I20250418001215 ME Practitioner - Clinical Social Worker 6608807490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1024829MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tmin Services, Inc. CurrentSince Dec 13, 2023 Accepting new patients
North Suffolk Community Services Inc. PastSince Mar 3, 2005 Accepting new patients

Locations

800 District Ave
Ste 520
Burlington, MA 01803
Phone (781) 338-7350

Organizations & group practices 2

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1033178991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WINDHOVER PL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145151",
            "telephone_number": "919-240-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WINDHOVER PL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145151",
            "telephone_number": "919-240-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHMORE",
        "first_name": "CHRISTINE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1024829",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.