Individual provider Active NPI

Ashley Nicole Vance, LICSW

  • Clinical Social Worker
  • Warwick, RI
National Provider Identifier
1194504746
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW04309 Issued in RI
Practice address
469 Centerville Rd Ste 105
Warwick, RI 02886-4356
Phone
(401) 773-3700
NPI assigned
Sep 25, 2023
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW02985 RI
Clinical Social Worker 1041C0700X ISW04309 RI Primary

Addresses

Primary practice location

469 Centerville Rd Ste 105
Warwick, RI 02886-4356

Mailing address

PO Box 81003
Warwick, RI 02888-0931
Phone (401) 585-8391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241220001445 RI Practitioner - Mental Health Counselor 9739616350 Reassigns benefits to 1 organization
I20260501002286 MA Practitioner - Clinical Social Worker 9739616350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightside Behavioral Health LLCGroup PAC ID 4981048501, 14 clinicians

Practice addresses (Care Compare)

179 Highland Ave
Suite 1039
Seekonk, MA 02771-5828
Phone (401) 773-3700

469 Centerville Rd
Suite 105
Warwick, RI 02886-4356
Phone (401) 773-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW02985RIMDClinical Social Worker
ISW04309RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Behavioral Health, LLC CurrentSince Oct 18, 2024 Accepting new patients

Locations

179 Highland Ave
#1039
Seekonk, MA 02771
Phone (401) 773-3700

469 Centerville Rd
Ste 105
Warwick, RI 02886
Phone (401) 738-9200

Organizations & group practices 1

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": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1194504746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81003",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028880931",
            "telephone_number": "401-585-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 CENTERVILLE RD STE 105",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864356",
            "telephone_number": "401-773-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW02985",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW04309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.