Individual provider Active NPI

Ashley E. Broberg, LCSW

  • Clinical Social Worker
  • Lancaster, PA
National Provider Identifier
1215664388
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW025224 Issued in PA
Practice address
1891 Santa Barbara Dr Ste 102
Lancaster, PA 17601-4106
Phone
(717) 553-1192
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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 CW025224 PA Primary

Addresses

Primary practice location

1891 Santa Barbara Dr Ste 102
Lancaster, PA 17601-4106

Mailing address

1891 Santa Barbara Dr Ste 102
Lancaster, PA 17601-4106
Phone (717) 553-1192

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abroberg@wellspan.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250502000471 PA Practitioner - Clinical Social Worker 4486170412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Krem Capital IncGroup PAC ID 7416311774, 15 clinicians

Practice addresses (Care Compare)

1891 Santa Barbara Dr
Suite 102
Lancaster, PA 17601-4106
Phone (717) 936-9758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Krem Capital, Inc CurrentSince Feb 23, 2025 Accepting new patients

Locations

1891 Santa Barbara Dr
Ste 102
Lancaster, PA 17601
Phone (717) 553-1192

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": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1215664388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 SANTA BARBARA DR STE 102",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014106",
            "telephone_number": "717-553-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 SANTA BARBARA DR STE 102",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014106",
            "telephone_number": "717-553-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROBERG",
        "first_name": "ASHLEY",
        "middle_name": "E.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abroberg@wellspan.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1101 Edgar St",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174032862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.