Individual provider Active NPI

Ashley Kumba McClain, LCSWC

  • Social Worker
  • Rockville, MD
National Provider Identifier
1710405014
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
19004 Issued in MD
Practice address
27 Wood LN
Rockville, MD 20850-2228
Phone
(240) 708-0122
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 19004 MD Primary

Addresses

Primary practice location

27 Wood LN
Rockville, MD 20850-2228

Mailing address

267 Kentlands Blvd
Gaithersburg, MD 20878-5446
Phone (240) 277-7309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • 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
I20200421001377 DC Practitioner - Clinical Social Worker 7113357823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Rockville, MD 20850
Phone (240) 708-0122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19004MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Tree Wellness CurrentSince Aug 25, 2020 Accepting new patients
Foundations for Home and Community,Inc PastSince Jul 24, 2022 Accepting new patients

Locations

267 Kentlands Blvd
Gaithersburg, MD 20878
Phone (240) 490-0176

Organizations & group practices 2

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1710405014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 KENTLANDS BLVD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785446",
            "telephone_number": "240-277-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WOOD LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502228",
            "telephone_number": "240-708-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "ASHLEY",
        "middle_name": "KUMBA",
        "credential": "LCSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "19004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.