Individual provider Active NPI

Ashton Niedzwiecki

  • Clinical Social Worker
  • Ferndale, MI
National Provider Identifier
1457112252
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
290 W 9 Mile Rd
Ferndale, MI 48220-1794
Phone
(248) 398-7105
NPI assigned
Jan 18, 2024
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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 NU Primary

Addresses

Primary practice location

290 W 9 Mile Rd
Ferndale, MI 48220-1794

Mailing address

1416 Leroy St
Ferndale, MI 48220-3172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Affirmations Community Center CurrentSince May 1, 2024 Accepting new patients
Path to Empowerment, PLLC Clinical CurrentSince Jan 21, 2024 Accepting new patients

Locations

290 W 9 Mile Rd
Ferndale, MI 48220
Phone (248) 397-7105

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": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1457112252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 LEROY ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482203172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 W 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201794",
            "telephone_number": "248-398-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDZWIECKI",
        "first_name": "ASHTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.