Ashley Broughton
Individual provider Active NPI Social Worker · Hammond, IN
NPI 1992553762 · NPPES record last updated May 8, 2024
Key facts
- NPI
- 1992553762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 150108965 (IL)
- Practice address
- 7210 Tilley Dr
Hammond, IN 46324-2136 - Phone
- (708) 513-1391
- NPI assigned
- May 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150108965 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aidecare Home Support Agency LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150108965 | IL | Yes |
Addresses
Primary practice location
7210 Tilley Dr
Hammond, IN 46324-2136
Mailing address
7210 Tilley Dr
Hammond, IN 46324-2136
Phone (708) 513-1391
Other providers in Hammond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.