Individual provider Active NPI

Ashley Ron Yaldo, LLCSW

  • Clinical Social Worker
  • Bloomfield Hills, MI
National Provider Identifier
1649804063
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801101478 Issued in MI
Practice address
10 W Square Lake Rd Ste 103
Bloomfield Hills, MI 48302-0466
Phone
(248) 256-5044
NPI assigned
Feb 25, 2020
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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 6801101478 MI Primary

Addresses

Primary practice location

10 W Square Lake Rd Ste 103
Bloomfield Hills, MI 48302-0466

Mailing address

4823 Bantry Dr
West Bloomfield, MI 48322-1527
Phone (248) 884-2422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801101478MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Behavioral Mental Health PLLC Clinical CurrentSince Mar 31, 2024 Accepting new patients

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": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1649804063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4823 BANTRY DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221527",
            "telephone_number": "248-884-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W SQUARE LAKE RD STE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020466",
            "telephone_number": "248-256-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALDO",
        "first_name": "ASHLEY",
        "middle_name": "RON",
        "name_prefix": "Ms.",
        "credential": "LLCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801101478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.