Individual provider Active NPI

Brooke June Ashley, LMSW

  • Social Worker
  • Flint, MI
National Provider Identifier
1821654914
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801099466 Issued in MI
Practice address
1044 Gilbert St
Flint, MI 48532-3527
Phone
(810) 422-9406
NPI assigned
May 14, 2019
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801099466 MI Primary
Clinical Social Worker 1041C0700X 6801099466 MI

Addresses

Primary practice location

1044 Gilbert St
Flint, MI 48532-3527

Mailing address

740 Center St
Clio, MI 48420-1148
Phone (810) 686-7313

Other practice location 1

740 Center St
Clio, MI 48420-1148
Phone (810) 686-7313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210714001973 MI Practitioner - Clinical Social Worker 4880096726 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Jul 13, 2021 Accepting new patients
Bio-Med Behavioral Health Services Past Accepting new patients

Locations

8245 Holly Rd
Ste 200
Grand Blanc, MI 48439
Phone (810) 242-3740

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

Organizations & group practices 3

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1821654914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 CENTER ST",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201148",
            "telephone_number": "810-686-7313",
            "fax_number": "810-686-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 GILBERT ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323527",
            "telephone_number": "810-422-9406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 Center St",
            "address_purpose": "LOCATION",
            "city": "Clio",
            "state": "MI",
            "postal_code": "484201148",
            "country_code": "US",
            "telephone_number": "810-686-7313",
            "fax_number": "810-686-7315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHLEY",
        "first_name": "BROOKE",
        "middle_name": "JUNE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801099466",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.