Healthcare Provider Details

I. General information

NPI: 1902444029
Provider Name (Legal Business Name): ASHLEY WESTPHAL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY REBECCA BUELL

II. Dates (important events)

Enumeration Date: 12/19/2019
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

741 N GRAND AVE STE 302
WAUKESHA WI
53186-4841
US

IV. Provider business mailing address

4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE AZ
85251-7630
US

V. Phone/Fax

Practice location:
  • Phone: 262-999-3495
  • Fax:
Mailing address:
  • Phone: 262-999-3495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8806-123
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: