Individual provider Active NPI

Ashley A Gauck, LCSW

  • Clinical Social Worker
  • Shelbyville, IN
National Provider Identifier
1225476583
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007617A Issued in IN
Practice address
1626 E State Rd 44
Ste a
Shelbyville, IN 46176-4057
Phone
(317) 421-2012
Fax
(317) 398-1852
NPI assigned
Jun 10, 2013
Last updated
Apr 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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
Clinical Social Worker 1041C0700X 34007617A IN Primary

Addresses

Primary practice location

1626 E State Rd 44
Ste a
Shelbyville, IN 46176-4057

Mailing address

2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (317) 421-1942

Other names 1

  • Ashley A Pulskamp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170112001771 IN Practitioner - Clinical Social Worker 2264714971 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
X-Ray Physicians of Shelbyville PC Current Accepting new patients
Major Hospital CurrentSince Apr 1, 2019 Accepting new patients
Major Multispecialty Associates CurrentSince Oct 13, 2022 Accepting new patients
Major Multispecialty Associates CurrentSince Oct 13, 2022 Accepting new patients
Major Hospital CurrentSince Apr 1, 2019 Accepting new patients
Centerstone of Indiana, Inc. CurrentSince Dec 10, 2016 Accepting new patients
Centerstone of Indiana, Inc. CurrentSince Dec 10, 2016 Accepting new patients
Major Hospital Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

720 N Marr Rd
Columbus, IN 47201
Phone (812) 314-3400

1626 E State Road 44
Ste 24
Shelbyville, IN 46176

1626 E State Road 44
Ste A
Shelbyville, IN 46176
Phone (317) 421-2012

2325 Intelliplex Dr
Ste 207
Shelbyville, IN 46176
Phone (317) 392-2971

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

2451 Intelliplex Dr
#210
Shelbyville, IN 46176
Phone (317) 421-1914

2451 Intelliplex Dr
Ste 230
Shelbyville, IN 46176
Phone (317) 398-0193

2451 Intelliplex Dr
Ste 24
Shelbyville, IN 46176
Phone (317) 398-7337

2451 Intelliplex Dr
Ste 240
Shelbyville, IN 46176
Phone (317) 398-7337

30 W Rampart St
Ste 160
Shelbyville, IN 46176
Phone (317) 392-2161

30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121

Organizations & group practices 9

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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1225476583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 INTELLIPLEX DR",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768580",
            "telephone_number": "317-421-1942",
            "fax_number": "317-398-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 E STATE RD 44",
            "address_2": "STE A",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461764057",
            "telephone_number": "317-421-2012",
            "fax_number": "317-398-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUCK",
        "first_name": "ASHLEY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007617A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "PULSKAMP",
            "middle_name": "A",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelbyville, IN

Sources for this page

Verify at the official NPI Registry.