Ashley Decook, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114971 Issued in CA

Practice address

571 Tamarron Dr
Colorado Springs, CO 80919-2023

Phone

(567) 686-6058

NPI assigned

Jun 5, 2017

Last updated

Sep 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 25, 2023 through Sep 25, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• A Renewed Mind

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1760749444
  NPD (past)

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1336678341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 CENTENNIAL BLVD # 1098",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193335",
            "telephone_number": "567-686-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 TAMARRON DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192023",
            "telephone_number": "567-686-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOOK",
        "first_name": "ASHLEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "114971",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa L Decker, LPC
• Michelle Decker, PTA
• Serra Decker
• Troy Decker, DDS
• Whitney Decker
• Samantha Dedrickson
• Wafaa Deeb, MA, CCC-SLP
• Jackson Deeds
• Rachael Deegan
• Andrew Jacob Deem, MA, LPCC

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.