Active NPI
Ashley Steltz, LCSW
- Clinical Social Worker
- Union Grove, WI
National Provider Identifier
1710143474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7761-123
- Practice address
- 4380 67TH Dr # 1000
Union Grove, WI 53182-9338 - Phone
- (262) 930-9599
- NPI assigned
- Aug 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7761-123 | WI | Primary |
Addresses
Primary practice location
4380 67TH Dr # 1000
Union Grove, WI 53182-9338
Mailing address
4380 67TH Dr # 1000
Union Grove, WI 53182-9338
Phone (262) 930-9599
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7761-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1710143474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4380 67TH DR # 1000",
"city": "UNION GROVE",
"state": "WI",
"postal_code": "531829338",
"telephone_number": "262-930-9599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4380 67TH DR # 1000",
"city": "UNION GROVE",
"state": "WI",
"postal_code": "531829338",
"telephone_number": "262-930-9599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELTZ",
"first_name": "ASHLEY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-01",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7761-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union Grove, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.