Individual provider Active NPI

Ashley Pittman, MSW, LSW

  • Social Worker
  • Columbus, OH
National Provider Identifier
1760143382
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1700500 Issued in OH
Practice address
3040 Riverside Dr Ste 120
Columbus, OH 43221-2550
Phone
(614) 329-8862
NPI assigned
Jan 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 22033613 OH
Social Worker 104100000X S.1700500 OH Primary

Addresses

Primary practice location

3040 Riverside Dr Ste 120
Columbus, OH 43221-2550

Mailing address

3040 Riverside Dr Ste 120
Columbus, OH 43221-2550

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.1700500OHMDSocial Worker
22033613OHMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shana Kemp-Price Counseling Associates Dba Modern Therapy CurrentSince Jan 26, 2022 Accepting new patients

Locations

3040 Riverside Dr
Ste 120
Upper Arlington, OH 43221
Phone (614) 316-4912

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": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1760143382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 RIVERSIDE DR STE 120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 RIVERSIDE DR STE 120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212550",
            "telephone_number": "614-329-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "ASHLEY",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OH",
            "license": "22033613",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1700500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.