Individual provider Active NPI

David Kilian Ashbeck, MSW LCSW

  • Clinical Social Worker
  • Green Bay, WI
National Provider Identifier
1306995584
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1273123 Issued in WI
Practice address
2733 South Ridge Road
Green Bay, WI 54304-5513
Phone
(920) 497-6200
Fax
(920) 497-3135
NPI assigned
Jan 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1273123 WI Primary

Addresses

Primary practice location

2733 South Ridge Road
Green Bay, WI 54304-5513

Mailing address

2733 South Ridge Road
Green Bay, WI 54304-5513
Phone (920) 497-6200

Other identifiers 1

IdentifierTypeStateIssuer
39664900MedicaidWI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1273123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Desert View Counseling and Consulting, Inc. PastSince Oct 1, 2007 Accepting new patients

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, 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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306995584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 SOUTH RIDGE ROAD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045513",
            "telephone_number": "920-497-6200",
            "fax_number": "920-497-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 SOUTH RIDGE ROAD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045513",
            "telephone_number": "920-497-6200",
            "fax_number": "920-497-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBECK",
        "first_name": "DAVID",
        "middle_name": "KILIAN",
        "name_prefix": "Mr.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1273123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39664900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.