Individual provider Active NPI

Ashtin Kasey Dicochea, LCSW

  • Clinical Social Worker
  • Gastonia, NC
National Provider Identifier
1598130692
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011285 Issued in NC
Practice address
175 W Franklin Blvd
Gastonia, NC 28052-4145
Phone
(704) 865-3529
NPI assigned
Dec 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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 C011285 NC Primary

Addresses

Primary practice location

175 W Franklin Blvd
Gastonia, NC 28052-4145

Mailing address

5310 Park Rd
Charlotte, NC 28209-3648
Phone (910) 705-1698

Other practice location 1

5 N Lafayette St Ste 3
Shelby, NC 28150-5687
Phone (980) 552-9374

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
I20181205001072 NC Practitioner - Clinical Social Worker 3678817442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Practice addresses (Care Compare)

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2450

520 N Dekalb St
Shelby, NC 28150-4188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C011285NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom & Balance, PLLC Clinical CurrentSince Jun 16, 2022 Accepting new patients
Caromont Medical Group Inc CurrentSince Nov 12, 2018 Accepting new patients
Caromont Medical Group Inc CurrentSince Nov 12, 2018 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients

Locations

2240 Remount Rd
Gastonia, NC 28054
Phone (704) 671-5311

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

320 E Graham St
Ste 1
Shelby, NC 28150
Phone (704) 484-1058

5 N Lafayette St
Ste 3
Shelby, NC 28150
Phone (980) 552-9374

Organizations & group practices 4

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": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1598130692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093648",
            "telephone_number": "910-705-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W FRANKLIN BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524145",
            "telephone_number": "704-865-3529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 N Lafayette St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281505687",
            "country_code": "US",
            "telephone_number": "980-552-9374",
            "fax_number": "980-552-9275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICOCHEA",
        "first_name": "ASHTIN",
        "middle_name": "KASEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.