Individual provider Active NPI

Ashly E Ebeling, LGSW

  • Clinical Social Worker
  • Westminster, MD
National Provider Identifier
1447377494
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
G12454 Issued in MD
Practice address
59 Kate Wagner Rd.
Westminster, MD 21157
Phone
(410) 848-2500
Fax
(410) 876-3016
NPI assigned
Mar 23, 2007
Last updated
Dec 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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 G12454 MD Primary

Addresses

Primary practice location

59 Kate Wagner Rd.
Westminster, MD 21157

Mailing address

59 Kate Wagner Rd.
Westminster, MD 21157
Phone (410) 848-2500

Other identifiers 1

IdentifierTypeStateIssuer
615501400MedicaidMD

Other names 1

  • Ashly E Willard Former name

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
I20170525001916 MD Practitioner - Clinical Social Worker 2769759505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Finksburg Plaza Counseling Service, LLCGroup PAC ID 2466401534, 10 clinicians

Practice addresses (Care Compare)

1812 Baltimore Blvd
Suite a
Westminster, MD 21157-7144
Phone (410) 751-6176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G12454MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Finksburg Plaza Counseling Service, LLC Clinical CurrentSince May 1, 2017 Accepting new patients

Locations

1812 Baltimore Blvd
Ste A
Westminster, MD 21157
Phone (410) 751-6176

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1447377494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 KATE WAGNER RD.",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-848-2500",
            "fax_number": "410-876-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 KATE WAGNER RD.",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-848-2500",
            "fax_number": "410-876-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBELING",
        "first_name": "ASHLY",
        "middle_name": "E",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "G12454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "615501400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLY",
            "last_name": "WILLARD",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.