Individual provider Active NPI

Ashley Pesek, LCSW

  • Clinical Social Worker
  • Ellsworth, ME
National Provider Identifier
1427372366
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC12666 Issued in ME
Practice address
710 Bucksport Rd
Ellsworth, ME 04605-2722
Phone
(207) 667-6890
Fax
(207) 667-6457
NPI assigned
Mar 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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 LC12666 ME Primary

Addresses

Primary practice location

710 Bucksport Rd
Ellsworth, ME 04605-2722

Mailing address

180 Academy St Ste 3
Presque Isle, ME 04769-3183
Phone (207) 554-2352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20130219000461 ME Practitioner - Clinical Social Worker 5395990535 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aroostook Mental Health Services, Inc. Clinical CurrentSince Dec 1, 2012 Accepting new patients

Locations

127 Palmer St
Calais, ME 04619
Phone (207) 454-0270

127 Palmer St
Ste B
Calais, ME 04619
Phone (207) 454-0775

43 Hatch Dr
Ste 310
Caribou, ME 04736
Phone (207) 493-3361

70 Kingsland Xing
Ellsworth, ME 04605
Phone (207) 667-6890

710 Bucksport Rd
Ellsworth, ME 04605
Phone (207) 573-0270

104 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

11 Mill St
Houlton, ME 04730
Phone (207) 532-6523

88 Fox St
#101
Madawaska, ME 04756
Phone (207) 728-6341

14 Steves Ln
Marshfield, ME 04654
Phone (207) 255-0996

180 Academy St
Ste 3
Presque Isle, ME 04769
Phone (207) 554-2352

180 Academy St
Ste 2
Presque Isle, ME 04769
Phone (207) 764-3319

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": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1427372366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ACADEMY ST STE 3",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693183",
            "telephone_number": "207-554-2352",
            "fax_number": "207-554-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BUCKSPORT RD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052722",
            "telephone_number": "207-667-6890",
            "fax_number": "207-667-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESEK",
        "first_name": "ASHLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-22",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC12666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

Verify at the official NPI Registry.