Individual provider Active NPI

Ashley Coyle, LCSW

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1558250209
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2025021851 Issued in MO
Practice address
1777 Fordham Blvd Ste 202-6
Chapel Hill, NC 27514-5859
Phone
(888) 204-8409
NPI assigned
Jun 30, 2025
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2025021851 MO Primary
Clinical Social Worker 1041C0700X C018954 NC

Addresses

Primary practice location

1777 Fordham Blvd Ste 202-6
Chapel Hill, NC 27514-5859

Mailing address

1020 Broadlands Way
Graham, NC 27253-8617
Phone (785) 979-0131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20251016003235 NC Practitioner - Clinical Social Worker 8628565231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1108 Willow Dr
Chapel Hill, NC 27517-2924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025021851MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Heal Love, Inc Clinical CurrentSince Jul 24, 2025 Accepting new patients

Locations

1777 Fordham Blvd
Ste 202-6
Chapel Hill, NC 27514
Phone (888) 204-8409

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, 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": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1558250209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 BROADLANDS WAY",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272538617",
            "telephone_number": "785-979-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 FORDHAM BLVD STE 202-6",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145859",
            "telephone_number": "888-204-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYLE",
        "first_name": "ASHLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2025021851",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.