Individual provider Active NPI

Ashley Lynn Tillson

  • Clinical Social Worker
  • Kennebunk, ME
National Provider Identifier
1760300461
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5 Bragdon LN Ste 4
Kennebunk, ME 04043-7262
Phone
(207) 423-0337
NPI assigned
Jul 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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 ME Primary

Addresses

Primary practice location

5 Bragdon LN Ste 4
Kennebunk, ME 04043-7262

Mailing address

125 Brickhill Ave Unit 212
South Portland, ME 04106-2293
Phone (207) 423-0337

Other practice location 1

125 Brickhill Ave Unit 212
South Portland, ME 04106-2293
Phone (207) 423-0337

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

NPI Registry JSON

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1760300461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BRICKHILL AVE UNIT 212",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062293",
            "telephone_number": "207-423-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BRAGDON LN STE 4",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437262",
            "telephone_number": "207-423-0337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Brickhill Ave Unit 212",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041062293",
            "country_code": "US",
            "telephone_number": "207-423-0337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLSON",
        "first_name": "ASHLEY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.