MR. ASHLEY SHAUN PEPPERS (NPI# 1891330544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891330544 |
| Entity Type | Individual |
| Full Name | MR. ASHLEY SHAUN PEPPERS |
| Credential | LMSW, CASAC-T |
| Practice Address |
595 W Main St Watertown NY 13601-1335 |
| Mailing Address |
5744 Bartel Rd Brewerton NY 13029-9626 |
| Practice Telephone | 3157881530 |
| Mailing Telephone | 8047216936 |
| Enumeration Date | 2019-11-16 |
| Last Update Date | 2019-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
094698 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES | 31462 | 01 |
| NY | UNIVERSITY OF THE STATE OF NEW YORK | 094698 | 01 |
| Street Address |
595 W MAIN ST |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659389021 | Credo Community Center for Treatment of Addictions Inc | Substance Abuse Rehabilitation Facility | 595 W Main St, Watertown, NY 13601-1335 | 2006-08-03 |
| 1578928339 | Melinda Gabriel | Marriage & Family Therapist | 595 W Main St, Watertown, NY 13601-1335 | 2015-12-22 |
| 1902204464 | Elise Labatore | Counselor | 595 W Main St, Watertown, NY 13601-1335 | 2014-12-16 |
| 1760630073 | Credo Community Center for The Treatment of Addictions | Community/Behavioral Health | 595 W Main St, Watertown, NY 13601 | 2008-08-29 |
| 1609023167 | Patricia Fralick | Counselor | 595 W Main St, Watertown, NY 13601-1335 | 2008-08-26 |
| 1013164565 | Kim Downey | Counselor | 595 W Main St, Watertown, NY 13601-1335 | 2008-08-26 |
| 1699922146 | Chris Mcdonald | Counselor | 595 W Main St, Watertown, NY 13601-1335 | 2008-08-26 |
| 1851548325 | Joanne Nugent | Counselor | 595 W Main St, Watertown, NY 13601-1335 | 2008-08-26 |
| 1326295809 | Caryn White | Social Worker | 595 W Main St, Watertown, NY 13601-1335 | 2008-08-26 |
| 1275780728 | Randy Gardner | Counselor | 595 W Main St, Watertown, NY 13601-1335 | 2008-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841822319 | Amanda Whitney Lasko Gross | Social Worker | 210 Belmont St Apt 10, Watertown, MA 02472-3557 | 2020-02-12 |
| 1568094902 | New Beginnings Counseling LLC | Social Worker | 51 Echo Lake Rd, Watertown, CT 06795-2638 | 2020-02-04 |
| 1841821477 | Sarah J Fredrich | Social Worker | 312 E Main St Ste 210, Watertown, WI 53094-3755 | 2020-02-02 |
| 1598237042 | Ryan Lawlor | Social Worker | 37 Carmel Hill Rd, Watertown, CT 06795-2437 | 2018-12-21 |
| 1942779996 | Julie Kong | Social Worker | 29 Pilgrim Rd, Watertown, MA 02472-2255 | 2018-11-20 |
| 1831674845 | Joanna Brownstein | Social Worker | 29 Warren St, Watertown, MA 02472-3651 | 2018-09-26 |
| 1871078758 | Carolyn Hanke | Social Worker | 262 Main St Apt 1, Watertown, MA 02472-4308 | 2018-09-26 |
| 1043792039 | Francis Xavier Galligan | Social Worker | 14 Grandview Ave, Watertown, MA 02472-1790 | 2018-09-05 |
| 1265913362 | Natalie Lang | Social Worker | 14 Morton St, Watertown, MA 02472-2249 | 2018-08-27 |
| 1154809473 | Elaine L Sherwood | Social Worker | 705 Mount Auburn St Fl 4, Watertown, MA 02472-1508 | 2018-07-30 |
| Find all providers in WATERTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.