Individual provider Active NPI

Ashely Blevins

  • Clinical Social Worker
  • Liberty, KY
National Provider Identifier
1821565557
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
322 Middleburg St
Liberty, KY 42539-3004
Phone
(606) 787-9472
NPI assigned
Oct 31, 2018
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

322 Middleburg St
Liberty, KY 42539-3004

Mailing address

130 Southern School Rd
Somerset, KY 42501-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20231102003524 KY Practitioner - Clinical Social Worker 0749637338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

200 E Frazier Ave
Columbia, KY 42728-1915
Phone (270) 384-4719

259 Parkers Mill Rd
Somerset, KY 42501-3152
Phone (606) 679-7348

322 Middleburg St
Liberty, KY 42539-3004
Phone (606) 787-9472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. CurrentSince Sep 27, 2023 Accepting new patients
Lake Cumberland Regional MHMR Board Outpatient Past Accepting new patients

Locations

200 E Frazier Ave
Columbia, KY 42728
Phone (270) 384-4710

322 Middleburg St
Liberty, KY 42539
Phone (606) 787-9472

130 Southern School Rd
Somerset, KY 42501
Phone (606) 679-4782

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1821565557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SOUTHERN SCHOOL RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 MIDDLEBURG ST",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "425393004",
            "telephone_number": "606-787-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "ASHELY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, KY

Sources for this page

Verify at the official NPI Registry.