Sheila J. Ashby, LCSW
Individual provider Active NPI Social Worker · Mount Vernon, IL
NPI 1659467207 · NPPES record last updated Aug 17, 2009
Key facts
- NPI
- 1659467207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 149-005816 (IL)
- Practice address
- 4230 Lincolnshire Dr
Suite E
Mount Vernon, IL 62864-2189 - Phone
- (618) 242-4205
- Fax
- (618) 242-4209
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9 Cusumano Professional Plaza Dr
Mount Vernon, IL 62864-6736
Phone (618) 242-4205
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110830000234 | IL | Practitioner - Clinical Social Worker | 4284804220 | Practice locations: Mount Vernon, IL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-005816 | IL | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 149-005816 | IL | Yes |
Addresses
Primary practice location
4230 Lincolnshire Dr
Suite E
Mount Vernon, IL 62864-2189
Mailing address
4230 Lincolnshire Drive
Suite E
Mt Vernon, IL 62801
Phone (618) 242-4205
Other providers in Mount Vernon, IL
- Wendel Arms
- Arthritis Clinic, LTD.
- Asbery and Associates OB GYN LLC
- David S Asbery
- McKynzi Ash
- Jessica Ashlock
- Keri Ashmore
- Aspire Integrated Health, PLLC
- Gary Atchison
- Audio Hearing Center
All providers in Mount Vernon, IL · Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.