Ashley Bertram LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ASHLEY BERTRAM LCSW LLC

Practice address

100 Katelyn Cir Ste B
Warner Robins, GA 31088-6483

Phone

(904) 534-6036

NPI assigned

Jan 10, 2022

Last updated

Oct 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley Bertram, LCSWNPI 1285390146

Title

Owner

Phone

(904) 534-6036

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley Bertram, LCSW

  • Clinical Social Worker
  • Warner Robins, GA
  • NPI 1285390146
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1306507538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KATELYN CIR STE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886483",
            "telephone_number": "904-534-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KATELYN CIR STE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886483",
            "telephone_number": "904-534-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY BERTRAM LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "BERTRAM",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-534-6036",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bertramlcsw@gmail.com",
            "affiliation": "N",
            "address_1": "100 Katelyn Cir Ste B",
            "city": "Warner Robins",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310886483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aroyalhealthcare
• Gillian Arquisola, PHARMD
• Bernadette Charlene Arroyo-Kemp, DDS
• Taryn R Asbell-Werner, LCSW
• Ascension Total Wellness LLC
• Sheila L Ashley
• Tina N. Ashley, CRNA
• Mohammad A Aslam, M.D.
• Aspire Center LLC
• Astoria Anesthesiology LLC

• Clinical Social Worker in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.