Individual provider Active NPI

Ashlei Brown

  • Clinical Social Worker
  • Wilson, NC
National Provider Identifier
1114690757
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
509 Nash St W Ste B
Wilson, NC 27893-3744
Phone
(336) 695-9342
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Mind, Restorative Body Therapeutics LLC Addiction (Substance Use Disorder) CurrentSince Aug 18, 2024 Accepting new patients
Interventional Pain & Spine Specialists, PLLC Past Accepting new patients
Yotaron Enrichment Resource Center PastSince Oct 1, 2022 Accepting new patients
David Wichnoski, O.D. , P.a. PastSince Jun 1, 2024 Accepting new patients

Locations

509 Nash St W
Ste B
Wilson, NC 27893
Phone (336) 695-9342

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6303/brand/1/csg/1/fhir/r4

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 27378 NC
Massage Therapist 225700000X
Clinical Social Worker 1041C0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

509 Nash St W Ste B
Wilson, NC 27893-3744

Mailing address

4630 Gallant LN
Winston Salem, NC 27101-6409

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2024.

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1114690757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 GALLANT LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271016409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 NASH ST W STE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933744",
            "telephone_number": "336-695-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ASHLEI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "27378",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.