Individual provider Active NPI

Ashley Mae Legault, LMSW

  • Clinical Social Worker
  • Livonia, MI
National Provider Identifier
1306335062
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801122094 Issued in MI
Practice address
17177 N Laurel Park Dr Ste 131
Livonia, MI 48152-3952
Phone
(734) 462-3210
Fax
(734) 462-1024
NPI assigned
May 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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 6801122094 MI Primary

Addresses

Primary practice location

17177 N Laurel Park Dr Ste 131
Livonia, MI 48152-3952

Mailing address

17177 N Laurel Park Dr Ste 131
Livonia, MI 48152-3952
Phone (734) 462-3210

Other practice location 1

19855 Outer Dr
Dearborn, MI 48124-2022
Phone (313) 359-1977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190619000235 MI Practitioner - Clinical Social Worker 8426382854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victor M. Cruz MD, P.C.Group PAC ID 3375604952, 29 clinicians

Practice addresses (Care Compare)

17177 N Laurel Park Dr
Suite 131
Livonia, MI 48152-3952
Phone (734) 462-3210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1306335062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17177 N LAUREL PARK DR STE 131",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523952",
            "telephone_number": "734-462-3210",
            "fax_number": "734-462-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17177 N LAUREL PARK DR STE 131",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523952",
            "telephone_number": "734-462-3210",
            "fax_number": "734-462-1024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19855 Outer Dr",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242022",
            "country_code": "US",
            "telephone_number": "313-359-1977",
            "fax_number": "313-730-1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGAULT",
        "first_name": "ASHLEY",
        "middle_name": "MAE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801122094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.