Individual provider Active NPI

Ashley Michelle Luedtke, LCSW, LSCSW

  • Clinical Social Worker
  • Saint Joseph, MO
National Provider Identifier
1023460466
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2017003330 Issued in MO
Practice address
902 N Riverside Rd Ste 200
Saint Joseph, MO 64507-2566
Phone
(816) 271-1301
Fax
(816) 271-1302
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06424 KS
Clinical Social Worker 1041C0700X 125676 IA
Clinical Social Worker 1041C0700X 2017003330 MO Primary

Addresses

Primary practice location

902 N Riverside Rd Ste 200
Saint Joseph, MO 64507-2566

Mailing address

902 N Riverside Rd Ste 200
Saint Joseph, MO 64507-2566
Phone (816) 271-1301

Other practice location 1

810 SE 144th St
Stewartsville, MO 64490-8502
Phone (816) 306-6515

Other identifiers 1

IdentifierTypeStateIssuer
490113269MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825001641 MO Practitioner - Clinical Social Worker 8224412283 Reassigns benefits to 1 organization
Practice locations: Stewartsville, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

901 Heartland Rd
Saint Joseph, MO 64506-6201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125676IAMDClinical Social Worker
06424KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Era Counseling Services LLP Clinical CurrentSince Aug 25, 2024 Accepting new patients
Heartland Regional Medical Center CurrentSince Nov 1, 2023 Accepting new patients
Heartland Regional Medical Center CurrentSince Nov 1, 2023 Accepting new patients
Heartland Regional Medical Center Current Accepting new patients
Bridges Community Services Inc Past Accepting new patients

Locations

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1295

902 N Riverside Rd
Ste 200
Saint Joseph, MO 64507
Phone (816) 271-1301

3620 Frederick Ave
Saint Joseph, MO 64506
Phone (816) 271-7577

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • IA HMO
  • IA HMO C-SNP

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1023460466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N RIVERSIDE RD STE 200",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072566",
            "telephone_number": "816-271-1301",
            "fax_number": "816-271-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N RIVERSIDE RD STE 200",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072566",
            "telephone_number": "816-271-1301",
            "fax_number": "816-271-1302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 SE 144th St",
            "address_purpose": "LOCATION",
            "city": "Stewartsville",
            "state": "MO",
            "postal_code": "644908502",
            "country_code": "US",
            "telephone_number": "816-306-6515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUEDTKE",
        "first_name": "ASHLEY",
        "middle_name": "MICHELLE",
        "credential": "LCSW, LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06424",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "125676",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017003330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490113269",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.