Individual provider Active NPI

Kathryn Jerome Ashin, LMSW, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1427622497
Registry record updated Jan 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021942 Issued in PA
Practice address
3813 Sharp St
Philadelphia, PA 19127-1815
Phone
(734) 330-3952
NPI assigned
May 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801109352 MI
Clinical Social Worker 1041C0700X CW021942 PA Primary

Addresses

Primary practice location

3813 Sharp St
Philadelphia, PA 19127-1815

Mailing address

3813 Sharp St
Philadelphia, PA 19127-1815
Phone (734) 330-3952

Other practice location 1

437 Parklake Ave
Ann Arbor, MI 48103-2050
Phone (734) 330-3952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801109352MIMDClinical Social Worker
CW021942PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Psychological PC CurrentSince Oct 1, 2021 Accepting new patients

Locations

1420 Walnut St
Ste 1500
Philadelphia, PA 19102
Phone (610) 544-2100

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

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": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1427622497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 SHARP ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191271815",
            "telephone_number": "734-330-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3813 SHARP ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191271815",
            "telephone_number": "734-330-3952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "437 Parklake Ave",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481032050",
            "country_code": "US",
            "telephone_number": "734-330-3952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHIN",
        "first_name": "KATHRYN",
        "middle_name": "JEROME",
        "credential": "LMSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801109352",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.