Individual provider Active NPI

Hanah Ashley, LCSW

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1134594450
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149018709 Issued in IL
Practice address
6653 Weaver Rd Ste 108
Rockford, IL 61114-8068
Phone
(815) 262-7873
NPI assigned
Dec 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149018709 IL Primary

Addresses

Primary practice location

6653 Weaver Rd Ste 108
Rockford, IL 61114-8068

Mailing address

6653 Weaver Rd Ste 108
Rockford, IL 61114-8068
Phone (815) 262-7873

Other practice location 1

11447 2nd St Ste 9B
Roscoe, IL 61073-9522
Phone (815) 601-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149018709ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Process Not Perfection LLC Clinical CurrentSince Jun 25, 2023 Accepting new patients

Locations

6653 Weaver Rd
Ste 108
Rockford, IL 61114
Phone (815) 262-7873

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1134594450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6653 WEAVER RD STE 108",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148068",
            "telephone_number": "815-262-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6653 WEAVER RD STE 108",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148068",
            "telephone_number": "815-262-7873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11447 2nd St Ste 9B",
            "address_purpose": "LOCATION",
            "city": "Roscoe",
            "state": "IL",
            "postal_code": "610739522",
            "country_code": "US",
            "telephone_number": "815-601-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHLEY",
        "first_name": "HANAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.