Active NPI
Gwyn Ashmore
- Clinical Social Worker
- Burlington, NJ
National Provider Identifier
1700244191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05435100
- Practice address
- 651 High St
Burlington, NJ 08016-2737 - Phone
- (609) 481-3073
- Fax
- (609) 747-8864
- NPI assigned
- Feb 1, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05435100 | NJ | Primary |
Addresses
Primary practice location
651 High St
Burlington, NJ 08016-2737
Mailing address
651 High St
Burlington, NJ 08016-2737
Phone (609) 481-3073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0495719 | Medicaid | NJ |
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 |
|---|---|---|---|
| 44SC05435100 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1700244191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 HIGH ST",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "080162737",
"telephone_number": "609-481-3073",
"fax_number": "609-747-8864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 HIGH ST",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "080162737",
"telephone_number": "609-481-3073",
"fax_number": "609-747-8864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHMORE",
"first_name": "GWYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-01",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05435100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0495719",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.