Individual provider Active NPI

Ashlyn Ayres Ellington, LCSW

  • Social Worker
  • Atlanta, GA
National Provider Identifier
1780064030
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CSW006462 Issued in GA
Practice address
3565 Piedmont Rd NE
Building 2, Suite 510
Atlanta, GA 30305-1516
Phone
(678) 713-1579
NPI assigned
Jun 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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 CSW006462 GA Primary

Addresses

Primary practice location

3565 Piedmont Rd NE
Building 2, Suite 510
Atlanta, GA 30305-1516

Mailing address

3565 Piedmont Rd NE
Building 2, Suite 510
Atlanta, GA 30305-1516
Phone (678) 713-1579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 22, 2018 through Aug 22, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW006462GAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ashlyn Ellington LLC CurrentSince Oct 27, 2019 Accepting new patients

Locations

3565 Piedmont Rd NE
Bldg 2
Atlanta, GA 30305
Phone (404) 267-1517

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": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1780064030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 PIEDMONT RD NE",
            "address_2": "BUILDING 2, SUITE 510",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051516",
            "telephone_number": "678-713-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 PIEDMONT RD NE",
            "address_2": "BUILDING 2, SUITE 510",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051516",
            "telephone_number": "678-713-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "ASHLYN",
        "middle_name": "AYRES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "CSW006462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.