Individual provider Active NPI

Ashley Danielle Mackey, LCSW

  • Clinical Social Worker
  • Bellefonte, PA
National Provider Identifier
1972365047
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW024323 Issued in PA
Practice address
960 E High St Apt H
Bellefonte, PA 16823-2301
Phone
(570) 786-9547
NPI assigned
Jan 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW024323 PA Primary

Addresses

Primary practice location

960 E High St Apt H
Bellefonte, PA 16823-2301

Mailing address

960 E High St Apt H
Bellefonte, PA 16823-2301
Phone (570) 786-9547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240530000402 PA Practitioner - Clinical Social Worker 9537501945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prism Mental Health Solutions IncGroup PAC ID 1153860770, 2 clinicians

Practice addresses (Care Compare)

264 Haida Ave
Suite B1
Hastings, PA 16646-5611
Phone (814) 931-0417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. CurrentSince May 1, 2024 Accepting new patients
Prism Mental Health Solutions Inc Clinical CurrentSince Aug 16, 2024 Accepting new patients

Locations

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

264 Haida Ave
Ste B1
Hastings, PA 16646
Phone (814) 515-3427

200 Barr Harbor Dr
Ste 400
West Cnshohocken, PA 19428
Phone (484) 362-9802

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": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1972365047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E HIGH ST APT H",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168232301",
            "telephone_number": "570-786-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E HIGH ST APT H",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168232301",
            "telephone_number": "570-786-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "ASHLEY",
        "middle_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefonte, PA

Sources for this page

Verify at the official NPI Registry.