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ASHLEY MAE KIM LICSW
NPI 1861008930
Social Worker in Worcester, MA

Active since September 23, 2020PECOS Enrolled
26 QUEEN ST, WORCESTER, MA 01610(508) 860-7930 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 19, 2025, Aug 15, 2024, Sep 23, 2020 (3 updates tracked since 2020).

About Ashley Mae Kim Licsw NPPES

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

ASHLEY MAE KIM LICSW (NPI 1861008930) is an individual social worker in Worcester, Massachusetts and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1861008930
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameASHLEY MAE KIMCredential: LICSW
Location Address26 QUEEN STWorcester, MA 01610
Mailing Address26 Queen StWorcester, MA 01610-2478 · (508) 860-7930
Phone(508) 860-7930
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 23, 2020
Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1861008930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
26 QUEEN ST, Worcester, MA 01610
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Other Identifiers 1

Other1121117MA · Board Of Registration Of Social Work

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Mae Kim Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800317207
PECOS Enrollment IDI20250228003040
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 Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Health Center Of Worcester, Inc.
Same address
Federally Qualified Health Center (FQHC)
26 QUEEN ST, MEDICAL SERVICES
Worcester, MA 01610
  • Reassigned Medicare billing, Massachusetts enrollment
  • 110 clinicians in this Medicare group
NPI 1841200664 (508) 860-7962

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

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.

HA TOOHEY
Specialist
26 QUEEN ST
WORCESTER, MA 01610
Worcester County (508) 860-7700
DR. QUANG VAN LE PHARM.D.
Pharmacist
26 QUEEN ST
WORCESTER, MA 01610
Worcester County (508) 860-7730
NANCY RUTH DIFINIZIO RN, BALS
Registered Nurse
26 QUEEN ST
WORCESTER, MA 01610
Worcester County (508) 860-7700
MRS. NATALIE W SIEMEN R.N.
Registered Nurse
26 QUEEN ST
WORCESTER, MA 01610
Worcester County (508) 860-7700
MADHUSMITA DHAKAL M.D.
Psychiatry & Neurology (Psychiatry)
26 QUEEN ST
WORCESTER, MA 01610
Worcester County (508) 856-6580
ERICH BERANTUO CNP
Nurse Practitioner (Psychiatric/Mental Health)
26 QUEEN ST
WORCESTER, MA 01610
Worcester County (347) 241-9661
JULIE LYNN WEST
Nurse Practitioner (Psychiatric/Mental Health)
26 QUEEN ST
WORCESTER, MA 01610
Worcester County (508) 334-2670
ABIGAIL BOATEMAA
Dietitian, Registered
26 QUEEN ST
WORCESTER, MA 01610
Worcester County (978) 868-7964

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 Kim's NPI number?

The NPI number for Ashley Kim is 1861008930. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Where is Ashley Kim located?

Ashley Kim practices at 26 Queen St, Worcester, MA 01610. The listed phone number is (508) 860-7930.

What is Ashley Kim's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Ashley Kim enrolled in Medicare?

Yes. Ashley Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ashley Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Kim reassigns Medicare benefits to Family Health Center Of Worcester, Inc. (Worcester, MA). 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 Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ashley Kim was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.