Individual provider Active NPI

Ashley Keene

  • Clinical Social Worker
  • Danbury, CT
National Provider Identifier
1508465659
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12649 Issued in CT
Practice address
120 Main St
Danbury, CT 06810-7834
Phone
(203) 456-1405
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 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 12649 CT Primary

Addresses

Primary practice location

120 Main St
Danbury, CT 06810-7834

Mailing address

273 Roxbury Rd Unit 49
Southbury, CT 06488-3237
Phone (203) 417-0503

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
12649CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Institute for Communities Inc Current Accepting new patients
Connecticut Institute for Communities Inc CurrentSince Jan 31, 2024 Accepting new patients
Apex Community Care, Inc PastSince Nov 30, 2020 Accepting new patients

Locations

1 School Ridge Rd
Danbury, CT 06811

120 Main St
Fl 4
Danbury, CT 06810
Phone (203) 456-1405

152 West St
Danbury, CT 06810
Phone (203) 791-5120

57 North St
Ste 103
Danbury, CT 06810
Phone (203) 744-7007

120 Main St
Danbury, CT 06810
Phone (203) 456-1406

Organizations & group practices 3

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": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1508465659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 ROXBURY RD UNIT 49",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883237",
            "telephone_number": "203-417-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107834",
            "telephone_number": "203-456-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.