Individual provider Active NPI

Michael Dean Ash Sr., LCSWR

  • Clinical Social Worker
  • Mastic, NY
National Provider Identifier
1386761179
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R057950 Issued in NY
Practice address
56 Clinton Ave
Mastic, NY 11950-3106
Phone
(646) 261-3215
NPI assigned
Mar 25, 2007
Last updated
Feb 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 057950 NY
Clinical Social Worker 1041C0700X R057950 NY Primary

Addresses

Primary practice location

56 Clinton Ave
Mastic, NY 11950-3106

Mailing address

56 Clinton Ave
Mastic, NY 11950-3106
Phone (646) 261-3215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20131203000913 NY Practitioner - Clinical Social Worker 0840426540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1273 William Floyd Pkwy
Shirley, NY 11967-1825
Phone (646) 261-3215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
057950NYMDMental Health Counselor
R057950NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Ash LCSW PLLC Clinical CurrentSince Sep 6, 2012 Accepting new patients
Institute for Community Living , Inc. Past Accepting new patients

Locations

1273 William Floyd Pkwy
Shirley, NY 11967
Phone (631) 281-7810

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1386761179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CLINTON AVE",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119503106",
            "telephone_number": "646-261-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CLINTON AVE",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119503106",
            "telephone_number": "646-261-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASH",
        "first_name": "MICHAEL",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-25",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "057950",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R057950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mastic, NY

Sources for this page

Verify at the official NPI Registry.