Individual provider Active NPI

Ashley Thao, APSW

  • Clinical Social Worker
  • Appleton, WI
National Provider Identifier
1699496083
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
134015 Issued in WI
Practice address
119 N McCarthy Rd Ste P
Appleton, WI 54913-9112
Phone
(920) 903-1060
Fax
(920) 903-1164
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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 134015 WI Primary

Addresses

Primary practice location

119 N McCarthy Rd Ste P
Appleton, WI 54913-9112

Mailing address

119 N McCarthy Rd Ste P
Appleton, WI 54913-9112
Phone (920) 903-1060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
134015WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
US 2 Behavioral Health Care Inc CurrentSince Sep 11, 2022 Accepting new patients

Locations

119 N McCarthy Rd
Ste P
Appleton, WI 54913
Phone (920) 903-1060

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": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1699496083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N MCCARTHY RD STE P",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549139112",
            "telephone_number": "920-903-1060",
            "fax_number": "920-903-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N MCCARTHY RD STE P",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549139112",
            "telephone_number": "920-903-1060",
            "fax_number": "920-903-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAO",
        "first_name": "ASHLEY",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "134015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.