Individual provider Active NPI

Ashleigh A Clarysse, MSW

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1447922273
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801099332 Issued in MI
Practice address
4328 W Michigan Ave
Kalamazoo, MI 49006-5823
Phone
(269) 375-2222
NPI assigned
Sep 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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 6801099332 MI Primary

Addresses

Primary practice location

4328 W Michigan Ave
Kalamazoo, MI 49006-5823

Mailing address

4409 Clayborne Dr Apt 204
Kalamazoo, MI 49009-2746
Phone (269) 350-0282

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL laptop

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20211117001725 MI Practitioner - Clinical Social Worker 3173912987 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
Group practices
Neuropsychology Associates PLCGroup PAC ID 4385618297, 8 clinicians

Practice addresses (Care Compare)

4328 W Michigan Ave
Kalamazoo, MI 49006-5823
Phone (616) 375-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1447922273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 CLAYBORNE DR APT 204",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092746",
            "telephone_number": "269-350-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 W MICHIGAN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065823",
            "telephone_number": "269-375-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARYSSE",
        "first_name": "ASHLEIGH",
        "middle_name": "A",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "4328 W Michigan Ave",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490065823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.