Individual provider Active NPI

Ashley Delorenzo, LCSW, RPT

  • Clinical Social Worker
  • Red Bank, NJ
National Provider Identifier
1114669306
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05603500 Issued in NJ
Practice address
55 Route 35 Ste 6
Red Bank, NJ 07701-5918
Phone
(732) 784-7793
NPI assigned
Apr 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05603500 NJ Primary

Addresses

Primary practice location

55 Route 35 Ste 6
Red Bank, NJ 07701-5918

Mailing address

12 Alexis Dr
Farmingdale, NJ 07727-3648
Phone (908) 727-2277

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 8, 2023 through Dec 8, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05603500NJMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1114669306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ALEXIS DR",
            "city": "FARMINGDALE",
            "state": "NJ",
            "postal_code": "077273648",
            "telephone_number": "908-727-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ROUTE 35 STE 6",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015918",
            "telephone_number": "732-784-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELORENZO",
        "first_name": "ASHLEY",
        "credential": "LCSW, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05603500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.