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ASHLEY SWALLOW LCSW
NPI 1811741028
Social Worker - Clinical in Decatur, IL

Active since April 15, 2024PECOS EnrolledAccepts Medicare Assignment
250 W KENWOOD AVE, DECATUR, IL 62526(217) 528-7541 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2024, Apr 15, 2024 (2 updates tracked since 2024).

About Ashley Swallow Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY SWALLOW LCSW (NPI 1811741028) is an individual clinical provider in Decatur, Illinois, licensed in Illinois (149026261) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Springfield, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1811741028
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameASHLEY SWALLOWCredential: LCSW
Location Address250 W KENWOOD AVEDecatur, IL 62526-4371
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541
Phone(217) 528-7541
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 15, 2024
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1811741028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149026261
Definition
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.
250 W KENWOOD AVE, Decatur, IL 62526
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Secondary Practice Location 1

Location 11025 S 6th StSpringfield, IL 62703-2403 · Phone (217) 528-7541

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley Swallow 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.

PECOS PAC ID9234571902
PECOS Enrollment IDI20240527000065
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ashley Swallow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Springfield Clinic, LLP
37 mi
Multi-Specialty
1025 S 6TH ST
Springfield, IL 62703
  • Reassigned Medicare billing, Illinois enrollment
  • 735 clinicians in this Medicare group
NPI 1780638478 (217) 528-7541

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA D. MURPHY APRN
Nurse Practitioner (Family)
250 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 528-7541
AMISHA KAMATH MD
Family Medicine
250 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 872-3800
DR. JOHNNY C TENEGRA M.D.
Family Medicine
250 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 872-3800
SPRINFIELD CLINIC LLP
Non-Pharmacy Dispensing Site
250 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 428-3424
LAURA E LAW PA-C
Physician Assistant (Medical)
250 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 872-3800
HARVINDER DHILLON MD
Family Medicine
250 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 872-3800
DR. CYNTHIA D MARSCHNER DO
Family Medicine
250 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 528-7541
DR. DAVID IBRAHIM M.D.
Family Medicine
250 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 872-3800

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 Swallow's NPI number?

The NPI number for Ashley Swallow is 1811741028. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Ashley Swallow located?

Ashley Swallow practices at 250 W Kenwood Ave, Decatur, IL 62526. The listed phone number is (217) 528-7541.

What is Ashley Swallow's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ashley Swallow enrolled in Medicare?

Yes. Ashley Swallow 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.

Which organization bills Medicare for Ashley Swallow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Swallow reassigns Medicare benefits to Springfield Clinic, LLP (Springfield, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashley Swallow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Swallow accept?

Health plans from Oscar Health list Ashley Swallow 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 Swallow was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.