Organization Active NPI

Alexis Ashby PLLC

  • Clinical Social Worker
  • Plymouth, MI
National Provider Identifier
1255069803
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ALEXIS ASHBY PLLC
Practice address
725 N Mill St
Plymouth, MI 48170-1423
Phone
(734) 812-2289
NPI assigned
Aug 11, 2022
Last updated
Aug 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Alexis Ashby, LSMWNPI 1770899601
Title
LMSW
Phone
(734) 812-2289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

725 N Mill St
Plymouth, MI 48170-1423

Mailing address

9216 Mayflower Dr
Plymouth, MI 48170-3989
Phone (734) 812-2289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220927000419 MI Part B Supplier - Clinic/Group Practice 4789060963 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MI

National Provider Directory

National Provider Directory

Locations

340 N Main St
Ste 320
Plymouth, MI 48170
Phone (734) 812-2289

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1255069803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9216 MAYFLOWER DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703989",
            "telephone_number": "734-812-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N MILL ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701423",
            "telephone_number": "734-812-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIS ASHBY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "ASHBY",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "LMSW",
        "authorized_official_telephone_number": "734-812-2289",
        "authorized_official_credential": "LSMW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.