Active NPI
Ashley Ann Belden, LICDC, LSW
- Clinical Social Worker
- Canton, OH
National Provider Identifier
1679878607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S1903683
- Practice address
- 601 Cleveland Ave NW
Canton, OH 44702-1836 - Phone
- (330) 455-0374
- Fax
- (330) 453-6716
- NPI assigned
- Jan 23, 2011
- Last updated
- Dec 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC162091 | OH | |
| Clinical Social Worker | 1041C0700X | S1903683 | OH | Primary |
Addresses
Primary practice location
601 Cleveland Ave NW
Canton, OH 44702-1836
Mailing address
625 Cleveland Ave NW
Canton, OH 44702-1805
Phone (330) 455-0374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0270123 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICDC162091 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| S1903683 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1679878607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 CLEVELAND AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447021805",
"telephone_number": "330-455-0374",
"fax_number": "330-453-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 CLEVELAND AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447021836",
"telephone_number": "330-455-0374",
"fax_number": "330-453-6716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELDEN",
"first_name": "ASHLEY",
"middle_name": "ANN",
"credential": "LICDC, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-23",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC162091",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S1903683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0270123",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
- Belden Village Chiropractic & Wellness Center LLC
- Belden Village Healthcare LLC
- Belden Village Healthcare Services
- Belden Village Pain and Wellness Center
- Belden Village Pain and Wellness Center, Inc.
- Mariquita Tolentino Belen, MD
- Arnita Shaliyah Bell
- Kalita M Bell
- Katrina Ann Bell, MAED, LPCC, LSW
- Sheryl L Bell, E.D.M. PA/A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.