Individual provider Active NPI

Tearle Devin Ashby, MSW

  • Clinical Social Worker
  • Niskayuna, NY
National Provider Identifier
1184799801
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
044927 Issued in NY
Practice address
1758 Union St
Niskayuna, NY 12309-6314
Phone
(518) 982-1274
Fax
(518) 982-1277
NPI assigned
Nov 21, 2006
Last updated
May 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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 044927 NY Primary

Addresses

Primary practice location

1758 Union St
Niskayuna, NY 12309-6314

Mailing address

4B Brookside MDWS
Ballston Lake, NY 12019-9012
Phone (518) 605-5128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
044927NYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Tammy J Leblanc NP Psychiatry PC Past Accepting new patients
Tearle Ashby LCSW PC Clinical Past Accepting new patients

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, 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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1184799801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4B BROOKSIDE MDWS",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120199012",
            "telephone_number": "518-605-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 UNION ST",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123096314",
            "telephone_number": "518-982-1274",
            "fax_number": "518-982-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBY",
        "first_name": "TEARLE",
        "middle_name": "DEVIN",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "044927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niskayuna, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.