Individual provider Active NPI

Ashley Carrasco, LSW

  • Social Worker
  • Oak Park, IL
National Provider Identifier
1285250688
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150103945 Issued in IL
Practice address
137 N Oak Park Ave Ste 327
Oak Park, IL 60301-1375
Phone
(219) 484-8918
Fax
(708) 848-2876
NPI assigned
Jun 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150103945 IL Primary

Addresses

Primary practice location

137 N Oak Park Ave Ste 327
Oak Park, IL 60301-1375

Mailing address

11301 S Langley Ave
Chicago, IL 60628-4766
Phone (219) 484-8918

Other practice location 1

180 N Michigan Ave Ste 1510
Chicago, IL 60601-7484
Phone (219) 484-8918

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley@ccptherapists.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150103945ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Center for Psychotherapy LLC CurrentSince Feb 6, 2022 Accepting new patients

Locations

180 N Michigan Ave
Ste 1510
Chicago, IL 60601
Phone (312) 201-0840

137 N Oak Park Ave
Ste 327
Oak Park, IL 60301
Phone (708) 848-0491

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": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1285250688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 S LANGLEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284766",
            "telephone_number": "219-484-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE STE 327",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011375",
            "telephone_number": "219-484-8918",
            "fax_number": "708-848-2876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 N Michigan Ave Ste 1510",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017484",
            "country_code": "US",
            "telephone_number": "219-484-8918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "ASHLEY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150103945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley@ccptherapists.com",
            "affiliation": "N",
            "address_1": "137 N Oak Park Ave Ste 327",
            "city": "Oak Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "603011375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.