Individual provider Active NPI

Ashleigh Kristen Drudik, LICSW

  • Clinical Social Worker
  • Hastings, NE
National Provider Identifier
1316559362
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2159 Issued in NE
Practice address
2217 W 12TH St Ste 4
Hastings, NE 68901-3660
Phone
(402) 318-9797
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3276 NE
Clinical Social Worker 1041C0700X 2159 NE Primary

Addresses

Primary practice location

2217 W 12TH St Ste 4
Hastings, NE 68901-3660

Mailing address

2217 W 12TH St Ste 4
Hastings, NE 68901-3660
Phone (402) 318-9797

Other names 1

  • Ashleigh Kristen Varner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20220913001644 NE Practitioner - Clinical Social Worker 4183009053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grief and Gratitude Counseling LLCGroup PAC ID 3274918149, 3 clinicians

Practice addresses (Care Compare)

905 Theatre Dr
Suite 101B
Hastings, NE 68901-4593
Phone (402) 673-6208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2159NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grief & Gratitude Counseling LLC CurrentSince Aug 16, 2022 Accepting new patients

Locations

2217 W 12th St
Ste 4
Hastings, NE 68901
Phone (402) 318-9797

905 Theatre Dr
Ste 101B
Hastings, NE 68901
Phone (402) 673-6208

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": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1316559362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 W 12TH ST STE 4",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013660",
            "telephone_number": "402-318-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 W 12TH ST STE 4",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013660",
            "telephone_number": "402-318-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUDIK",
        "first_name": "ASHLEIGH",
        "middle_name": "KRISTEN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3276",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "2159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEIGH",
            "last_name": "VARNER",
            "middle_name": "KRISTEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.