Healthcare Provider Details

I. General information

NPI: 1699447953
Provider Name (Legal Business Name): ELIZABETH ASHLEY WHEELER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2021
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 COHASSET RD STE 140
CHICO CA
95926-2478
US

IV. Provider business mailing address

242 N VILLA AVE
WILLOWS CA
95988-2641
US

V. Phone/Fax

Practice location:
  • Phone: 530-879-3795
  • Fax: 530-879-3997
Mailing address:
  • Phone: 530-865-6459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number138599
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: