Ashley Marie Deitz, LCSW
Individual provider Active NPI Clinical Social Worker · Gibbstown, NJ
NPI 1194455956 · NPPES record last updated Jun 14, 2022
Key facts
- NPI
- 1194455956
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05972400 (NJ)
- Practice address
- 23 Mason Ave
Gibbstown, NJ 08027-1159 - Phone
- (609) 820-3798
- NPI assigned
- Jun 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Senior Care Therapy LLC
Practice addresses (Care Compare)
85 Crescent Ave
Passaic, NJ 07055-2437
Phone (973) 264-0023
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220628003898 | NJ | Practitioner - Clinical Social Worker | 8325428923 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05972400 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Care Therapy LLC | Clinical | Current |
Accepting new patients |
| Grow Healthcare Group of New Jersey PC | Clinical | Current |
Accepting new patients |
| Valued Minds, LLC | Clinical | Current |
Accepting new patients |
Locations
2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 44SC05972400 | NJ | Yes |
Addresses
Primary practice location
23 Mason Ave
Gibbstown, NJ 08027-1159
Mailing address
23 Mason Ave
Gibbstown, NJ 08027-1159
Phone (609) 820-3798
Other providers in Gibbstown, NJ
- Akshay S Dave MD LLC
- Assoc. for Retarded Citizens, Inc. Goucester County
- Carter Global Healthcare LLC
- Carter Medical Associates LLC
- Akshay S Dave
- Michael Entrekin
- Raymond Filipponi
- Timothy Matthew Giacobbe
- Gibbstown Chiropractic Center, Inc.
- Gibbstown Dentistry, Inc.
All providers in Gibbstown, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.