Individual provider Active NPI

Ashley Yeingst

  • Clinical Social Worker
  • Lutz, FL
National Provider Identifier
1861854218
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22007 Issued in FL
Practice address
15215 Livingston Ave Apt 165
Lutz, FL 33559-3741
Phone
(352) 316-4404
NPI assigned
Mar 24, 2016
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X H220001905280 FL
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW22007 FL Primary

Addresses

Primary practice location

15215 Livingston Ave Apt 165
Lutz, FL 33559-3741

Mailing address

15215 Livingston Ave Apt 165
Lutz, FL 33559-3741
Phone (352) 316-4404

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
I20241205004208 FL Practitioner - Clinical Social Worker 9931635554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Psychiatric Health IncGroup PAC ID 7810290384, 26 clinicians

Practice addresses (Care Compare)

27716 Cashford Cir
Suite 101
Wesley Chapel, FL 33544-6962
Phone (813) 540-1466

8431 W Linebaugh Ave
Aph Westchase
Tampa, FL 33625-3729
Phone (813) 540-1466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
H220001905280FLMDBehavioral Analyst
SW22007FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Health Inc Multi-Specialty CurrentSince Dec 3, 2024 Accepting new patients
Partners in Medicine & Surgery, P.a. Multi-Specialty Past Accepting new patients

Locations

8431 W Linebaugh Ave
Tampa, FL 33625
Phone (813) 540-1466

27716 Cashford Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 406-4835

Networks

  • Freedom Health HMO Network

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1861854218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15215 LIVINGSTON AVE APT 165",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335593741",
            "telephone_number": "352-316-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 LIVINGSTON AVE APT 165",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335593741",
            "telephone_number": "352-316-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEINGST",
        "first_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "H220001905280",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.