Individual provider Active NPI

Ashlee Brianne Fehrenbacher, LCSW

  • Clinical Social Worker
  • Lawrenceville, IL
National Provider Identifier
1609294230
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.016256 Issued in IL
Practice address
11020 State Route 250
Lawrenceville, IL 62439-3379
Phone
(618) 943-3754
Fax
(618) 943-3657
NPI assigned
Apr 1, 2014
Last updated
Apr 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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 149.016256 IL Primary

Addresses

Primary practice location

11020 State Route 250
Lawrenceville, IL 62439-3379

Mailing address

PO Box 516
Lawrenceville, IL 62439-0516
Phone (618) 943-3754

Other identifiers 1

IdentifierTypeStateIssuer
036072942MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20160215000361 IL Practitioner - Clinical Social Worker 6709195233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Southern Illinois University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence County Memorial HospitalGroup PAC ID 7517144249, shared by 4 NPIs, 33 clinicians
Lawrence County Memorial HospitalGroup PAC ID 1850288481, 13 clinicians

Practice addresses (Care Compare)

2111 Lexington Ave
Lawrenceville, IL 62439-2085
Phone (618) 943-7214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.016256ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathologists, LLC Current Accepting new patients
Lawrence County Memorial Hospital CurrentSince Apr 1, 2020 Accepting new patients
Lawrence County Memorial Hospital CurrentSince Apr 1, 2020 Accepting new patients
Lawrence County Memorial Hospital CurrentSince Nov 22, 2025 Accepting new patients

Locations

2111 Lexington Ave
Lawrenceville, IL 62439
Phone (618) 943-6202

2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000

Organizations & group practices 4

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1609294230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624390516",
            "telephone_number": "618-943-3754",
            "fax_number": "618-943-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 STATE ROUTE 250",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624393379",
            "telephone_number": "618-943-3754",
            "fax_number": "618-943-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEHRENBACHER",
        "first_name": "ASHLEE",
        "middle_name": "BRIANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072942",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, IL

Sources for this page

Verify at the official NPI Registry.