ASHLEY ANNE PETITO LCSW
NPI 1366169120
Social Worker - Clinical in Port Jefferson Station, NY
About Ashley Anne Petito Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHLEY ANNE PETITO LCSW (NPI 1366169120) is an individual clinical provider in Port Jefferson Station, New York, licensed in New York (093572) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ashley Anne Petito Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11776 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT JEFFERSON STATION, NY 11776
PORT JEFFERSON STATION, NY 11776
PORT JEFFERSON STATION, NY 11776
PORT JEFFERSON STATION, NY 11776
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ashley Petito's NPI number?
The NPI number for Ashley Petito is 1366169120. It was assigned to this individual provider in the NPPES registry on October 24, 2022. The provider is also known as Ashley Anne Humphreys Lmsw.
Where is Ashley Petito located?
Ashley Petito practices at 1050 Hallock Ave Ste 4, Port Jefferson Station, NY 11776. The listed phone number is (631) 612-8816.
What is Ashley Petito's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Ashley Petito enrolled in Medicare?
Yes. Ashley Petito is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Ashley Petito accept?
Health plans from Providence Health Plan list Ashley Petito as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ashley Petito was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ashley Anne Petito, LCSW · NPI 1366169120
Clinical provider in Port Jefferson Station, New York. Individual provider, active in the CMS NPPES registry since October 24, 2022.
## Identity
- **NPI:** 1366169120 (Entity type: Individual)
- **Enumerated:** October 24, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 093572 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1050 HALLOCK AVE STE 4, Port Jefferson Station, NY 11776-1214
- **Phone:** (631) 612-8816
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1366169120) · Data from the CMS NPPES public registry.