Individual provider Active NPI

Ashira Windsor, MSW, LCSW

  • Clinical Social Worker
  • Gulfport, MS
National Provider Identifier
1003154451
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1601 30TH Ave
Gulfport, MS 39501-2741
Phone
(228) 284-2644
Fax
(855) 402-2013
NPI assigned
Jan 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1601 30TH Ave
Gulfport, MS 39501-2741

Mailing address

1601 30TH Ave
Gulfport, MS 39501-2741
Phone (228) 284-2644

Other practice location 1

5284 Adolfo Rd Ste 100
Camarillo, CA 93012-6790
Phone (805) 289-0130

Other identifiers 1

IdentifierTypeStateIssuer
56CCOtherCAASPIRA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20181017001228 MS Practitioner - Clinical Social Worker 9739431933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catalyst Counseling and Therapy Services LLCGroup PAC ID 2365776911, 8 clinicians

Practice addresses (Care Compare)

1601 30TH Ave
Gulfport, MS 39501-2741
Phone (228) 284-2644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aspira Foster & Family Services - Ventura PastSince Jul 1, 2022 Accepting new patients

Organizations & group practices 2

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": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1003154451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 30TH AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012741",
            "telephone_number": "228-284-2644",
            "fax_number": "855-402-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 30TH AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012741",
            "telephone_number": "228-284-2644",
            "fax_number": "855-402-2013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5284 Adolfo Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930126790",
            "country_code": "US",
            "telephone_number": "805-289-0130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINDSOR",
        "first_name": "ASHIRA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASPIRA",
            "identifier": "56CC",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.