Individual provider Active NPI

Ashley Crisanto

  • Clinical Social Worker
  • Bensenville, IL
National Provider Identifier
1669104022
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149028064 Issued in IL
Practice address
1032 David Dr
Bensenville, IL 60106-3416
Phone
(630) 999-3022
NPI assigned
Jun 25, 2022
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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 NU
Clinical Social Worker 1041C0700X 149028064 IL Primary

Addresses

Primary practice location

1032 David Dr
Bensenville, IL 60106-3416

Mailing address

1032 David Dr
Bensenville, IL 60106-3416
Phone (630) 999-3022

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
I20250212001307 IL Practitioner - Clinical Social Worker 8628508223 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Behavioral Health CurrentSince Jan 5, 2025 Accepting new patients

Locations

1414 Main St
Melrose Park, IL 60160
Phone (708) 681-0073

Interoperability endpoints

  • Direct secure messaging: ashley.crisanto.1@21300.direct.athenahealth.com

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": "1656115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1669104022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 DAVID DR",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063416",
            "telephone_number": "630-999-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 DAVID DR",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063416",
            "telephone_number": "630-999-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISANTO",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-25",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149028064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensenville, IL

Sources for this page

Verify at the official NPI Registry.