Active NPI
Ashley J Wilock, LCSW
- Clinical Social Worker
- Saco, ME
National Provider Identifier
1043539703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC17055
- Practice address
- 50 Moody St
Saco, ME 04072-1536 - Phone
- (800) 434-3000
- NPI assigned
- May 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC17055 | ME | Primary |
Addresses
Primary practice location
50 Moody St
Saco, ME 04072-1536
Mailing address
50 Moody St
Saco, ME 04072-1536
Phone (800) 434-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC17055 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Systems, Inc | Current | Accepting new patients | |
| Spectrum Health Systems Inc | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Pursuecare New Jersey PC | Clinical | Past | Accepting new patients |
Locations
390 Merrill Rd
Pittsfield, MA 01201
Phone (413) 442-0402
149 Oak St
Westborough, MA 01581
585 Lincoln St
Worcester, MA 01605
Phone (508) 831-0045
10 Mechanic St
Ste 302
Worcester, MA 01608
Phone (508) 792-5400
Interoperability endpoints
- ashleywilock@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.
-
- Community/Behavioral Health Agency
- Worcester, MA
- NPI 1346430253
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saco, ME
- NPI 1538122445
-
- Multi-Specialty Clinic/Center
- Worcester, MA
- NPI 1376827188
-
- Addiction (Substance Use Disorder) Counselor
- Voorhees, NJ
- NPI 1851067524
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513555200000",
"number": "1043539703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 MOODY ST",
"city": "SACO",
"state": "ME",
"postal_code": "040721536",
"telephone_number": "800-434-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MOODY ST",
"city": "SACO",
"state": "ME",
"postal_code": "040721536",
"telephone_number": "800-434-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILOCK",
"first_name": "ASHLEY",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-20",
"last_updated": "2017-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC17055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.