Individual provider Active NPI

Ashley Rastello, LCSW

  • Clinical Social Worker
  • Long Beach, NY
National Provider Identifier
1225525967
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090033 Issued in NY
Practice address
801 E Park Ave
Long Beach, NY 11561-2709
Phone
(516) 670-5221
NPI assigned
Apr 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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 090033 NY Primary

Addresses

Primary practice location

801 E Park Ave
Long Beach, NY 11561-2709

Mailing address

4 Tall Oaks CT
Manorville, NY 11949-2012
Phone (516) 670-5221

Other practice location 1

165 N Village Ave
Rockville Centre, NY 11570-3761
Phone (516) 442-1116

Other practice location 2

2-12 W Park Ave Ste 200
Long Beach, NY 11561-2020
Phone (516) 889-2332 ext. 24

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
090033NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Long Beach Reach Inc. PastSince Oct 15, 2015 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1225525967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TALL OAKS CT",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119492012",
            "telephone_number": "516-670-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612709",
            "telephone_number": "516-670-5221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 N Village Ave",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115703761",
            "country_code": "US",
            "telephone_number": "516-442-1116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2-12 W Park Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "NY",
            "postal_code": "115612020",
            "country_code": "US",
            "telephone_number": "516-889-2332 x24",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASTELLO",
        "first_name": "ASHLEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.