Individual provider Active NPI

Ashley Rideout, LCSW

  • Clinical Social Worker
  • Dunedin, FL
National Provider Identifier
1821294026
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6253 Issued in FL
Practice address
1022 Main St Ste B
Dunedin, FL 34698-5237
Phone
(727) 379-2273
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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 SW6253 FL Primary

Addresses

Primary practice location

1022 Main St Ste B
Dunedin, FL 34698-5237

Mailing address

235 San Salvador Dr
Dunedin, FL 34698-4232
Phone (727) 776-1719

Other identifiers 1

IdentifierTypeStateIssuer
811525700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170612000327 FL Practitioner - Clinical Social Worker 0042588311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1022 Main St
Suite B
Dunedin, FL 34698-5237
Phone (727) 379-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW6253FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Rideout LLC Clinical CurrentSince Aug 30, 2022 Accepting new patients
Option Center, Inc Clinical PastSince Jun 1, 2017 Accepting new patients

Locations

1022 Main St
Ste B
Dunedin, FL 34698
Phone (718) 942-6595

32801 US Highway 19 N
Ste 200
Palm Harbor, FL 34684
Phone (727) 379-2273

Organizations & group practices 2

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": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1821294026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SAN SALVADOR DR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346984232",
            "telephone_number": "727-776-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 MAIN ST STE B",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985237",
            "telephone_number": "727-379-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDEOUT",
        "first_name": "ASHLEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "811525700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

Verify at the official NPI Registry.