Individual provider Active NPI

Ashley Ashbacher

  • Clinical Social Worker
  • Woodbury, MN
National Provider Identifier
1083984850
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18673 Issued in MN
Practice address
2040 Woodwinds Drive
Woodbury, MN 55125
Phone
(651) 259-9711
NPI assigned
Jan 10, 2012
Reactivated
Nov 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 18673 MN Primary

Addresses

Primary practice location

2040 Woodwinds Drive
Woodbury, MN 55125

Mailing address

2040 Woodwinds Drive
Woodbury, MN 55125
Phone (651) 259-9711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20200203002329 MN Practitioner - Clinical Social Worker 7315373719 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care Multi-Specialty CurrentSince Jan 1, 2023 Accepting new patients
Healtheast Medical Research Institute Multi-Specialty Current Accepting new patients
Range Regional Health Services Multi-Specialty Current Accepting new patients
Fairview Health Services CurrentSince Jan 6, 2020 Accepting new patients
Fairview Health Services Multi-Specialty Current Accepting new patients
Range Regional Health Services CurrentSince Sep 15, 2025 Accepting new patients
Fairview Express Care Multi-Specialty Current Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2023 Accepting new patients
Fairview Health Services Multi-Specialty CurrentSince Jan 6, 2020 Accepting new patients
Healtheast Medical Research Institute Clinical CurrentSince Jan 1, 2023 Accepting new patients
Range Regional Health Services CurrentSince Sep 15, 2025 Accepting new patients

Locations

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

1405 Lilac Dr N
Ste 151
Minneapolis, MN 55422
Phone (763) 525-9919

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

400 Stinson Blvd
Minneapolis, MN 55413
Phone (612) 672-2258

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1083984850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 WOODWINDS DRIVE",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "651-259-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 WOODWINDS DRIVE",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "651-259-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBACHER",
        "first_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2019-11-22",
        "deactivation_date": "2016-09-19",
        "reactivation_date": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.