Active NPI
Ashley N Brevil, LCSW
- Clinical Social Worker
- Orlando, FL
National Provider Identifier
1922394535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW13943
- Practice address
- 5201 Raymond St
Orlando, FL 32803-8208 - Phone
- (407) 607-5229
- NPI assigned
- Jun 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | SW13943 | FL | |
| Clinical Social Worker | 1041C0700X | SW13943 | FL | Primary |
Addresses
Primary practice location
5201 Raymond St
Orlando, FL 32803-8208
Mailing address
5201 Raymond St
Orlando, FL 32803-8208
Phone (407) 646-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW13943 | FL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1922394535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 RAYMOND ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328038208",
"telephone_number": "407-646-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 RAYMOND ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328038208",
"telephone_number": "407-607-5229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREVIL",
"first_name": "ASHLEY",
"middle_name": "N",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2021-09-15",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "SW13943",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW13943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.