Individual provider Active NPI

Ashley McInerney, MSW, LCSW, LADC

  • Clinical Social Worker
  • Glastonbury, CT
National Provider Identifier
1609521293
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12913 Issued in CT
Practice address
558 Weir St
Glastonbury, CT 06033-3500
Phone
(860) 491-6636
NPI assigned
Feb 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1471 CT
Clinical Social Worker 1041C0700X 12913 CT Primary

Addresses

Primary practice location

558 Weir St
Glastonbury, CT 06033-3500

Mailing address

558 Weir St
Glastonbury, CT 06033-3500
Phone (860) 491-6636

Other practice location 1

71 W Dudley Town Rd
Bloomfield, CT 06002-5308
Phone (860) 491-6636

Other practice location 2

148 Eastern Blvd Ste 200
Glastonbury, CT 06033-4321
Phone (860) 815-8991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: No
  • 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
I20240509001187 CT Practitioner - Clinical Social Worker 1759722648 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12913CTMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Cognitive Care, PC CurrentSince Apr 1, 2024 Accepting new patients

Locations

148 Eastern Blvd
Ste 200
Glastonbury, CT 06033
Phone (860) 269-0282

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1609521293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 WEIR ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333500",
            "telephone_number": "860-491-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 WEIR ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333500",
            "telephone_number": "860-491-6636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 W Dudley Town Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "CT",
            "postal_code": "060025308",
            "country_code": "US",
            "telephone_number": "860-491-6636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "148 Eastern Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060334321",
            "country_code": "US",
            "telephone_number": "860-815-8991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINERNEY",
        "first_name": "ASHLEY",
        "credential": "MSW, LCSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-13",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1471",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.