Individual provider Active NPI

Ashley E Cortez, MSW, LCSW

  • Social Worker
  • Janesville, WI
National Provider Identifier
1306297270
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
130213 Issued in WI
Practice address
4700 Dresser Dr
Janesville, WI 53546-9160
Phone
(608) 752-7255
Fax
(608) 752-6942
NPI assigned
Jun 22, 2016
Last updated
Mar 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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 130213 WI Primary

Addresses

Primary practice location

4700 Dresser Dr
Janesville, WI 53546-9160

Mailing address

4700 Dresser Dr
Janesville, WI 53546-9160
Phone (608) 752-6942

Other practice location 1

17 S. River St.
254
Janesville, WI 53548-3863
Phone (608) 755-5260

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
I20240402001078 WI Practitioner - Clinical Social Worker 7113365701 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
130213WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peace & Power Counseling LLC CurrentSince Jun 8, 2024 Accepting new patients
Associates in Psychotherapy, LLC CurrentSince Jan 24, 2024 Accepting new patients
Trivium LLC PastSince Sep 1, 2008 Accepting new patients
Trivium LLC Past Accepting new patients

Locations

4539 Woodgate Dr
Ste A8
Janesville, WI 53546
Phone (608) 201-0591

4700 Dresser Dr
Ste 100
Janesville, WI 53546
Phone (608) 752-7255

Organizations & group practices 4

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1306297270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 DRESSER DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535469160",
            "telephone_number": "608-752-6942",
            "fax_number": "608-752-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 DRESSER DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535469160",
            "telephone_number": "608-752-7255",
            "fax_number": "608-752-6942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 S. River St.",
            "address_2": "254",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535483863",
            "country_code": "US",
            "telephone_number": "608-755-5260",
            "fax_number": "608-755-5267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "ASHLEY",
        "middle_name": "E",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "130213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.