Healthcare Provider Details

I. General information

NPI: 1245702950
Provider Name (Legal Business Name): ASHLEY WHITNELL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY BONNER LCSW

II. Dates (important events)

Enumeration Date: 12/19/2018
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

924 W 75TH ST # 205
NAPERVILLE IL
60565-6193
US

IV. Provider business mailing address

2272 95TH ST STE 125
NAPERVILLE IL
60564-8982
US

V. Phone/Fax

Practice location:
  • Phone: 630-447-0253
  • Fax:
Mailing address:
  • Phone: 630-409-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW20164
License Number StateFL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: