Individual provider Active NPI

Ashley Nicole Cohen, LISW

  • Clinical Social Worker
  • Defiance, OH
National Provider Identifier
1194335166
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2405180 Issued in OH
Practice address
511 Perry St
Defiance, OH 43512-2123
Phone
(419) 782-9920
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
School Social Worker 1041S0200X
Clinical Social Worker 1041C0700X I.2405180 OH Primary

Addresses

Primary practice location

511 Perry St
Defiance, OH 43512-2123

Mailing address

511 Perry St
Defiance, OH 43512-2123
Phone (419) 782-9920

Other identifiers 1

IdentifierTypeStateIssuer
0418436MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001001688 OH Practitioner - Clinical Social Worker 1254862303 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Services of Northwest Ohio, Inc CurrentSince Aug 12, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients

Locations

200 Van Gundy Dr
Bryan, OH 43506
Phone (419) 636-0410

800 N High St
Columbus, OH 43215
Phone (631) 540-8225

511 Perry St
Defiance, OH 43512
Phone (419) 782-4933

118 E Clinton St
Napoleon, OH 43545
Phone (419) 599-7040

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rsnwo/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1194335166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 PERRY ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122123",
            "telephone_number": "419-782-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 PERRY ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122123",
            "telephone_number": "419-782-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418436",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Defiance, OH

Sources for this page

Verify at the official NPI Registry.