Individual provider Active NPI

Whitney Ashlock, ACSW

  • Clinical Social Worker
  • Santa Ana, CA
National Provider Identifier
1750043055
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119421 Issued in CA
Practice address
2750 S Harbor Blvd Ste G
Santa Ana, CA 92704-5820
Phone
(866) 746-1558
NPI assigned
Oct 13, 2021
Reactivated
Oct 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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 119421 CA Primary

Addresses

Primary practice location

2750 S Harbor Blvd Ste G
Santa Ana, CA 92704-5820

Mailing address

25806 Sunrise Way
Loma Linda, CA 92354-3846
Phone (909) 557-8284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20241111002200 CA Practitioner - Clinical Social Worker 8820522014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Inlandpsych Redlands IncGroup PAC ID 0749337467, 9 clinicians

Practice addresses (Care Compare)

255 Terracina Blvd
Suite 204
Redlands, CA 92373-4870
Phone (909) 798-1763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inlandpsych Redlands Inc CurrentSince Nov 15, 2024 Accepting new patients
Inlandpsych Redlands Inc CurrentSince Nov 15, 2024 Accepting new patients
Rising Roads Recovery Services for Women, LLC PastSince Oct 17, 2021 Accepting new patients

Locations

701 Highland Springs Ave
Ste 7
Beaumont, CA 92223
Phone (951) 849-7455

255 Terracina Blvd
Ste 204
Redlands, CA 92373
Phone (909) 496-1266

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1750043055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25806 SUNRISE WAY",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543846",
            "telephone_number": "909-557-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 S HARBOR BLVD STE G",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045820",
            "telephone_number": "866-746-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLOCK",
        "first_name": "WHITNEY",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "deactivation_date": "2024-09-28",
        "reactivation_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "119421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.