Active NPI
Ashley R Watkins, LMSW
- Social Worker
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 108786-01
- Practice address
- 1045 James St
Syracuse, NY 13203-7043 - Phone
- (315) 472-4471
- NPI assigned
- Aug 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.020501 | IL | |
| Social Worker | 104100000X | 108786-01 | NY | Primary |
Addresses
Primary practice location
1045 James St
Syracuse, NY 13203-7043
Mailing address
1109 E. Genesee St. Unit 2
Syracuse, NY 13210
Phone (312) 813-0703
Other practice location 1
1207 W Leland Ave Fl 5
Chicago, IL 60640-7043
Phone (773) 275-2586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9526 Osceola Ave
Morton Grove, IL 60053-1161
Phone (312) 477-2354
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108786-01 | NY | MD | Social Worker |
| 149.020501 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brave Health Medical Group PA | Current | Accepting new patients |
Locations
1951 NW 7th Ave
Ste 300
Miami, FL 33136
Phone 3059026347 ext. 20
1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1083195184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 E. GENESEE ST. UNIT 2",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13210",
"telephone_number": "312-813-0703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 JAMES ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132037043",
"telephone_number": "315-472-4471"
}
],
"practiceLocations": [
{
"address_1": "1207 W Leland Ave Fl 5",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606407043",
"country_code": "US",
"telephone_number": "773-275-2586",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATKINS",
"first_name": "ASHLEY",
"middle_name": "R",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.020501",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "108786-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.