Individual provider Active NPI

Ashley Lynne Peres, MSW, LCSW

  • Clinical Social Worker
  • Valparaiso, IN
National Provider Identifier
1053778134
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34011761A Issued in IN
Practice address
2419 Eisenhower Ave
Valparaiso, IN 46383-3282
Phone
(219) 384-3738
NPI assigned
Jan 21, 2016
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW61495759 WA
Clinical Social Worker 1041C0700X 34011761A IN Primary

Addresses

Primary practice location

2419 Eisenhower Ave
Valparaiso, IN 46383-3282

Mailing address

2419 Eisenhower Ave
Valparaiso, IN 46383-3282
Phone (219) 384-3738

Other names 1

  • Miss Ashley Lynne Chappell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250627001534 IN Practitioner - Clinical Social Worker 4981117512 Reassigns benefits to 1 organization
I20250709002725 WA Practitioner - Clinical Social Worker 4981117512 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34011761AINMDClinical Social Worker
LW61495759WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince May 27, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1053778134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 EISENHOWER AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833282",
            "telephone_number": "219-384-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 EISENHOWER AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833282",
            "telephone_number": "219-384-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERES",
        "first_name": "ASHLEY",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61495759",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011761A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "CHAPPELL",
            "middle_name": "LYNNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.