Individual provider Active NPI

Stacey Ash, LSW, CDCA

  • Clinical Social Worker
  • Wellsville, OH
National Provider Identifier
1235528993
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S1303314 Issued in OH
Practice address
43637 Cameron Rd
Wellsville, OH 43968-9734
Phone
(330) 532-9087
NPI assigned
Jan 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 080302 OH
Clinical Social Worker 1041C0700X S1303314 OH Primary

Addresses

Primary practice location

43637 Cameron Rd
Wellsville, OH 43968-9734

Mailing address

43637 Cameron Rd
Wellsville, OH 43968-9734
Phone (330) 532-9087

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
I20171018000571 OH Practitioner - Clinical Social Worker 3870869910 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080302OHMDAddiction (Substance Use Disorder) Counselor
S1303314OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Columbiana County Mental Health Clinic CurrentSince Nov 1, 2017 Accepting new patients

Locations

15613 Pineview Dr
Ste A
East Liverpool, OH 43920
Phone (330) 385-9670

40722 State Route 154
Lisbon, OH 44432

166 Vine St
Salem, OH 44460
Phone (330) 332-1514

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": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1235528993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43637 CAMERON RD",
            "city": "WELLSVILLE",
            "state": "OH",
            "postal_code": "439689734",
            "telephone_number": "330-532-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43637 CAMERON RD",
            "city": "WELLSVILLE",
            "state": "OH",
            "postal_code": "439689734",
            "telephone_number": "330-532-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASH",
        "first_name": "STACEY",
        "name_prefix": "Mrs.",
        "credential": "LSW, CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "080302",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S1303314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsville, OH

Sources for this page

Verify at the official NPI Registry.