Active NPI
Asha Rose Goldstein, L.C.S.W.
- Clinical Social Worker
- Ashland, OR
National Provider Identifier
1437294840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L4318
- Practice address
- 1950 Crestview Dr
Ashland, OR 97520-3514 - Phone
- (541) 646-0828
- NPI assigned
- Feb 21, 2007
- Last updated
- Sep 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L4318 | OR | Primary |
Addresses
Primary practice location
1950 Crestview Dr
Ashland, OR 97520-3514
Mailing address
PO Box 2022
White City, OR 97503-0022
Phone (541) 646-0828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 18, 2021 through Aug 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4318 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conachy & Chang Counseling Services, LLC | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Ashland, OR
- NPI 1346024387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1437294840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2022",
"city": "WHITE CITY",
"state": "OR",
"postal_code": "975030022",
"telephone_number": "541-646-0828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 CRESTVIEW DR",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975203514",
"telephone_number": "541-646-0828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "ASHA",
"middle_name": "ROSE",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L4318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, OR
- Louie Ann Goldberg, LCSW
- Golden Way Acupuncture
- Golden Way Clinic Inc (Golden Way Acupuncture)
- Dana Alison Golden, L.M.T.
- Joseph D Goldman, D.O.
- Gomez Physical Therapy LLC (Move RX Physical Therapy and Wellness)
- Emanuelle Gomez, LCSW
- Christine Read Gonzales, M.D.
- Tyrell R Goodrich, RPH
- Goodrum Medical Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.