Individual provider Active NPI

Ashleigh Claiborne

  • Clinical Social Worker
  • Park Forest, IL
National Provider Identifier
1760927461
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.022781 Issued in IL
Practice address
440 Forest Blvd
Park Forest, IL 60466-2002
Phone
(708) 283-6950
NPI assigned
Jan 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 149.022781 IL Primary

Addresses

Primary practice location

440 Forest Blvd
Park Forest, IL 60466-2002

Mailing address

440 Forest Blvd
Park Forest, IL 60466-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20220718000949 IL Practitioner - Clinical Social Worker 1355722786 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.022781ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Aug 8, 2022 Accepting new patients
Access Community Health Network Current Accepting new patients
Access Community Health Network CurrentSince Aug 8, 2022 Accepting new patients
Youth Outreach Services Past Accepting new patients
Youth Outreach Services Past Accepting new patients

Locations

13000 Maple Ave
Blue Island, IL 60406
Phone (708) 371-0410

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

Interoperability endpoints

  • Direct secure messaging: ashleigh.claiborne.1@13826.direct.athenahealth.com

Organizations & group practices 5

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": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1760927461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 FOREST BLVD",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 FOREST BLVD",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662002",
            "telephone_number": "708-283-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAIBORNE",
        "first_name": "ASHLEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Forest, IL

Sources for this page

Verify at the official NPI Registry.