Individual provider Active NPI

Ashley Wojtecki, LCSW

  • Clinical Social Worker
  • Waukesha, WI
National Provider Identifier
1205257979
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8406-123 Issued in WI
Practice address
721 American Ave
Suite 501
Waukesha, WI 53188-5071
Phone
(262) 928-4036
Fax
(262) 928-5096
NPI assigned
Dec 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 129177-121 WI
Clinical Social Worker 1041C0700X 8406-123 WI Primary

Addresses

Primary practice location

721 American Ave
Suite 501
Waukesha, WI 53188-5071

Mailing address

721 American Ave
Suite 501
Waukesha, WI 53188-5071
Phone (262) 928-4036

Other practice location 1

1501 Airport Rd
Waukesha, WI 53188-2461
Phone (262) 548-7950

Other identifiers 1

IdentifierTypeStateIssuer
129177-121OtherWIWISCONSIN APSW LICENSE

Other names 1

  • Ashley Pierson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20160106001850 WI Practitioner - Clinical Social Worker 7719289800 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
129177-121WIMDSocial Worker
8406-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Waukesha County Current Accepting new patients
Prohealth Medical Group Inc CurrentSince Jan 4, 2016 Accepting new patients
Prohealth Medical Group Inc. CurrentSince Jan 4, 2016 Accepting new patients
Waukesha County CurrentSince Oct 28, 2023 Accepting new patients
Waukesha County CurrentSince Oct 28, 2023 Accepting new patients
Waukesha Health System, Inc. Past Accepting new patients

Locations

514 Riverview Ave
Waukesha, WI 53188
Phone (262) 548-7212

721 American Ave
Ste 501
Waukesha, WI 53188
Phone (262) 928-2396

1501 Airport Rd
Waukesha, WI 53188
Phone (262) 548-7950

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093

Organizations & group practices 6

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": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1205257979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 AMERICAN AVE",
            "address_2": "SUITE 501",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885071",
            "telephone_number": "262-928-4036",
            "fax_number": "262-928-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 AMERICAN AVE",
            "address_2": "SUITE 501",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885071",
            "telephone_number": "262-928-4036",
            "fax_number": "262-928-5096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531882461",
            "country_code": "US",
            "telephone_number": "262-548-7950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOJTECKI",
        "first_name": "ASHLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-26",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "129177-121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8406-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN APSW LICENSE",
            "identifier": "129177-121",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "PIERSON",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.