Individual provider Active NPI

Ashley Gamatoria, LCSW-C

  • Clinical Social Worker
  • Nottingham, MD
National Provider Identifier
1386184596
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22531 Issued in MD
Practice address
9649 Belair Rd Ste 104
Nottingham, MD 21236-1117
Phone
(410) 529-1309
Fax
(410) 529-1005
NPI assigned
Mar 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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 22531 MD Primary

Addresses

Primary practice location

9649 Belair Rd Ste 104
Nottingham, MD 21236-1117

Mailing address

9649 Belair Rd Ste 104
Nottingham, MD 21236-1117
Phone (410) 529-1309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20190912000490 MD Practitioner - Clinical Social Worker 8729317037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Well Life Counseling and Consulting, LLCGroup PAC ID 0446573166, 11 clinicians

Practice addresses (Care Compare)

9649 Belair Rd
Suite 104
Nottingham, MD 21236-1117
Phone (410) 529-1309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22531MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Well Life Counseling and Consulting, LLC CurrentSince Feb 16, 2025 Accepting new patients

Locations

9649 Belair Rd
Ste 104
Nottingham, MD 21236
Phone (410) 529-1309

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": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1386184596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9649 BELAIR RD STE 104",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361117",
            "telephone_number": "410-529-1309",
            "fax_number": "410-529-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9649 BELAIR RD STE 104",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361117",
            "telephone_number": "410-529-1309",
            "fax_number": "410-529-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMATORIA",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.