Active NPI
Michael Scot Ailes, M.S.W
- Social Worker
- Collingswood, NJ
National Provider Identifier
1508990904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SC01009000
- Practice address
- 566 Haddon Ave
Collingswood, NJ 08108-1444 - Phone
- (856) 858-9314
- Fax
- (856) 858-5672
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SC01009000 | NJ | Primary |
Addresses
Primary practice location
566 Haddon Ave
Collingswood, NJ 08108-1444
Mailing address
245 Stoneway LN
Merion Station, PA 19066-1819
Phone (610) 667-0756
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC01009000 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508990904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 STONEWAY LN",
"city": "MERION STATION",
"state": "PA",
"postal_code": "190661819",
"telephone_number": "610-667-0756",
"fax_number": "856-858-5672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 HADDON AVE",
"city": "COLLINGSWOOD",
"state": "NJ",
"postal_code": "081081444",
"telephone_number": "856-858-9314",
"fax_number": "856-858-5672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AILES",
"first_name": "MICHAEL",
"middle_name": "SCOT",
"name_prefix": "Mr.",
"credential": "M.S.W",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SC01009000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Collingswood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.