Individual provider Active NPI

Ashley Bates

  • Clinical Social Worker
  • West Seneca, NY
National Provider Identifier
1750832796
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090984 Issued in NY
Practice address
40 Gardenville Pkwy Ste 208
West Seneca, NY 14224-1399
Phone
(716) 431-4090
Fax
(716) 242-0244
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2021

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 090984 NY Primary

Addresses

Primary practice location

40 Gardenville Pkwy Ste 208
West Seneca, NY 14224-1399

Mailing address

40 Gardenville Pkwy Ste 208
West Seneca, NY 14224-1399
Phone (716) 431-4090

Other practice location 1

937 Broadway St
Buffalo, NY 14212-1263
Phone (716) 304-4411

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

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Services of Upstate New York Inc. PastSince Nov 21, 2019 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1750832796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GARDENVILLE PKWY STE 208",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241399",
            "telephone_number": "716-431-4090",
            "fax_number": "716-242-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GARDENVILLE PKWY STE 208",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241399",
            "telephone_number": "716-431-4090",
            "fax_number": "716-242-0244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "937 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142121263",
            "country_code": "US",
            "telephone_number": "716-304-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATES",
        "first_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.