Individual provider Active NPI

Ashay Monae Buckner, LISW

  • Social Worker
  • Cleveland, OH
National Provider Identifier
1306245196
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S1450710 Issued in OH
Practice address
1536 Saint Clair Ave NE # S19
Cleveland, OH 44114
Phone
(216) 220-7250
NPI assigned
Aug 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S1450710 OH Primary

Addresses

Primary practice location

1536 Saint Clair Ave NE # S19
Cleveland, OH 44114

Mailing address

1536 Saint Clair Ave NE # S19
Cleveland, OH 44114-2004
Phone (216) 990-4569

Other practice location 1

22001 Fairmount Blvd
Cleveland, OH 44118
Phone (216) 320-8684

Other practice location 2

22001 Fairmount Blvd
Cleveland, OH 44118
Phone (216) 320-8684

Other identifiers 1

IdentifierTypeStateIssuer
2846675MedicaidOH

Other names 1

  • Ms. Ashay Monae Pratt Former name

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
S1450710OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway to Purpose Early Learning Center LLC Current Accepting new patients

Locations

1536 Saint Clair Ave NE
#S19
Cleveland, OH 44114
Phone (216) 220-7250

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": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1306245196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 SAINT CLAIR AVE NE # S19",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142004",
            "telephone_number": "216-990-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 SAINT CLAIR AVE NE # S19",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44114",
            "telephone_number": "216-220-7250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22001 Fairmount Blvd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44118",
            "country_code": "US",
            "telephone_number": "216-320-8684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22001 Fairmount Blvd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44118",
            "country_code": "US",
            "telephone_number": "216-320-8684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "ASHAY",
        "middle_name": "MONAE",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1450710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2846675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHAY",
            "last_name": "PRATT",
            "middle_name": "MONAE",
            "prefix": "MS.",
            "credential": "ASHAY MONAE PRATT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.