Individual provider Active NPI

Ashley Hale, LCSW

  • Clinical Social Worker
  • Vincennes, IN
National Provider Identifier
1609232214
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008722A Issued in IN
Practice address
515 Bayou St
Vincennes, IN 47591-1034
Phone
(812) 886-6800
Fax
(812) 886-6809
NPI assigned
Jan 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 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 34008722A IN Primary

Addresses

Primary practice location

515 Bayou St
Vincennes, IN 47591-1034

Mailing address

PO Box 556
Vincennes, IN 47591-0556
Phone (812) 494-9501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240327000788 IN Practitioner - Clinical Social Worker 6608213533 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34008722AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Family Health Center, Inc CurrentSince Mar 12, 2024 Accepting new patients
Good Samaritan Family Health Center, Inc. CurrentSince Mar 12, 2024 Accepting new patients
Good Samaritan Family Health Center, Inc. Past Accepting new patients
Good Samaritan Family Health Center, Inc Past Accepting new patients
Good Samaritan Family Health Center, Inc Past Accepting new patients

Locations

611 E Main St
Ste 110
Petersburg, IN 47567
Phone (812) 354-8426

1513 Main St
Fl 3
Vincennes, IN 47591
Phone (812) 885-2720

515 Bayou St
Vincennes, IN 47591
Phone (812) 886-0907

1027 Washington Ave
#B
Vincennes, IN 47591
Phone (812) 494-7500

1901 Willow St
Vincennes, IN 47591
Phone (812) 885-2720

1027 Washington Ave
Vincennes, IN 47591
Phone (812) 494-7500

300 N 1st St
Vincennes, IN 47591
Phone (812) 494-9510

1008 Upper 11th St
Rm 25
Vincennes, IN 47591
Phone (812) 885-2720

2600 Wabash Ave
Rm 214
Vincennes, IN 47591
Phone (812) 885-8720

2116 N 2nd St
Rm B1
Vincennes, IN 47591
Phone (812) 885-2720

2007 State St
Washington, IN 47501
Phone (812) 254-1558

Organizations & group practices 5

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": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1609232214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 556",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475910556",
            "telephone_number": "812-494-9501",
            "fax_number": "812-494-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BAYOU ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911034",
            "telephone_number": "812-886-6800",
            "fax_number": "812-886-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "ASHLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008722A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.