Individual provider Active NPI

Ashley K Kiefer, LCSW

  • Clinical Social Worker
  • Middlebury, CT
National Provider Identifier
1841646239
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1145 Issued in CT
Practice address
2030 Straits Tpke
Middlebury, CT 06762-1831
Phone
(203) 558-1143
NPI assigned
May 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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 1145 CT
Clinical Social Worker 1041C0700X 1145 CT Primary

Addresses

Primary practice location

2030 Straits Tpke
Middlebury, CT 06762-1831

Mailing address

39 Franklin Ave
Oakville, CT 06779-1418
Phone (203) 815-9432

Other practice location 1

984 Southford Rd
Middlebury, CT 06762-3234
Phone (203) 758-2400

Other names 1

  • Ashley Hicks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20190708001710 CT Practitioner - Clinical Social Worker 0244565653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kiefer Counseling, LLCGroup PAC ID 1254707367, 4 clinicians

Practice addresses (Care Compare)

14 Maple St
Terryville, CT 06786-5220
Phone (203) 232-5971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1145CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kiefer Counseling LLC Clinical CurrentSince Jul 1, 2022 Accepting new patients
Compassionate Care Counseling LLC CurrentSince Feb 7, 2021 Accepting new patients

Locations

984 Southford Rd
Middlebury, CT 06762
Phone (203) 758-2400

14 Maple St
Terryville, CT 06786
Phone (203) 232-5971

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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1841646239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 FRANKLIN AVE",
            "city": "OAKVILLE",
            "state": "CT",
            "postal_code": "067791418",
            "telephone_number": "203-815-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 STRAITS TPKE",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621831",
            "telephone_number": "203-558-1143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "984 Southford Rd",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "CT",
            "postal_code": "067623234",
            "country_code": "US",
            "telephone_number": "203-758-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIEFER",
        "first_name": "ASHLEY",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "1145",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "1145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "HICKS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middlebury, CT

Sources for this page

Verify at the official NPI Registry.