Individual provider Active NPI

Ashley Skye Allen, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1508532201
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091367 Issued in NY
Practice address
1 State Street Plaza
18TH Floor
New York, NY 10004
Phone
(929) 206-7655
NPI assigned
Aug 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 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 091367 NY Primary

Addresses

Primary practice location

1 State Street Plaza
18TH Floor
New York, NY 10004

Mailing address

1241 Deer Park Ave # 1010
North Babylon, NY 11703-3114
Phone (631) 838-8084

Other practice location 1

7111 Astoria Blvd N
East Elmhurst, NY 11370-1029
Phone (929) 206-7655

Other practice location 2

10210 Ditmars Blvd
East Elmhurst, NY 11369-1328
Phone (929) 206-7655

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

State licenses

LicenseStateTypeSpecialty
091367NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1508532201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 DEER PARK AVE # 1010",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117033114",
            "telephone_number": "631-838-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STATE STREET PLAZA",
            "address_2": "18TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10004",
            "telephone_number": "929-206-7655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7111 Astoria Blvd N",
            "address_purpose": "LOCATION",
            "city": "East Elmhurst",
            "state": "NY",
            "postal_code": "113701029",
            "country_code": "US",
            "telephone_number": "929-206-7655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10210 Ditmars Blvd",
            "address_purpose": "LOCATION",
            "city": "East Elmhurst",
            "state": "NY",
            "postal_code": "113691328",
            "country_code": "US",
            "telephone_number": "929-206-7655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ASHLEY",
        "middle_name": "SKYE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-21",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; 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.