Active NPI
Joan L. Ashkin, EDD MSW LCSW
- Psychologist
- Port Charlotte, FL
National Provider Identifier
1215068671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- SW6159
- Practice address
- 3505 Depew Ave
Port Charlotte, FL 33952-7016 - Phone
- (941) 627-2100
- Fax
- (941) 627-6442
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | SW6159 | FL | Primary |
Addresses
Primary practice location
3505 Depew Ave
Port Charlotte, FL 33952-7016
Mailing address
3505 Depew Ave
Port Charlotte, FL 33952-7016
Phone (941) 627-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW6159 | Other | FL | SOCIAL WORKERS |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1215068671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 DEPEW AVE",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339527016",
"telephone_number": "941-627-2100",
"fax_number": "941-627-6442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 DEPEW AVE",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339527016",
"telephone_number": "941-627-2100",
"fax_number": "941-627-6442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHKIN",
"first_name": "JOAN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "EDD MSW LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "SW6159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORKERS",
"identifier": "SW6159",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.