Active NPI
Ashley E Collins, LCSW
- School Social Worker
- Bloomington, IN
National Provider Identifier
1609459791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 34009274A
- Practice address
- 645 S Rogers St
Bloomington, IN 47403-2353 - Phone
- (812) 339-1691
- Fax
- (812) 339-8109
- NPI assigned
- May 5, 2021
- Last updated
- May 5, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 34009274A | IN | Primary |
Addresses
Primary practice location
645 S Rogers St
Bloomington, IN 47403-2353
Mailing address
645 S Rogers St
Bloomington, IN 47403-2353
Phone (812) 339-1691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34009274A | IN | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerstone of Indiana, Inc. | Current | Accepting new patients | |
| Centerstone of Indiana, Inc. | Current | Accepting new patients |
Locations
645 S Rogers St
Bloomington, IN 47403
Phone (812) 339-1691
720 N Marr Rd
Columbus, IN 47201
Phone (812) 314-3400
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bloomington, IN
- NPI 1972320224
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bloomington, IN
- NPI 1992781470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1609459791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 S ROGERS ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032353",
"telephone_number": "812-339-1691",
"fax_number": "812-339-8109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 S ROGERS ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032353",
"telephone_number": "812-339-1691",
"fax_number": "812-339-8109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "ASHLEY",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-05",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "IN",
"license": "34009274A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.