Ashly Marie Witkowiak, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8690-123 Issued in WI

Practice address

10201 W Lincoln Ave Ste 106
West Allis, WI 53227-2136

Phone

(414) 541-5100

NPI assigned

Nov 13, 2017

Last updated

Nov 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Child & Family Therapeutic Systems S.C.

  dba Child & Family Therapeutic Systems

  • Clinical Social Worker
  • Greenfield, WI
  • NPI 1922176395
  Medicare reassignment NPD
• Mindful Healing

  • Clinical Social Worker
  • Lake Geneva, WI
  • NPI 1265186787
  NPD Authorized official
• Deep Healing LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Milwaukee, WI
  • NPI 1700443744
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1891208864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1686B N VAN BUREN ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022018",
            "telephone_number": "414-899-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 W LINCOLN AVE STE 106",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272136",
            "telephone_number": "414-541-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITKOWIAK",
        "first_name": "ASHLY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8690-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wisconsin Medical Group
• Wisconsin Oral Surgery & Dental Implants, S.C.
• Wisconsin Oral Surgery LLC
• Wisconsin Renal Care Group, L.L.C. (WRCG Centre Point)
• Wisconsin Vision, LLC
• Steven Wittig, P.T.
• Sarah Wittmann, LPC
• Jennifer Wojak, RDH
• Robert J Wolf, PHARMD
• Ciara Wolfe, OTR

• Clinical Social Worker in West Allis, WI
• Providers in West Allis, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.