Individual provider Active NPI

Ashley Mia Morgan, LCSW

  • Clinical Social Worker
  • Santa Rosa, CA
National Provider Identifier
1013497544
Registry record updated Jul 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116236 Issued in CA
Practice address
3438 Mendocino Ave Ste B
Santa Rosa, CA 95403-2275
Phone
(707) 387-4525
Fax
(707) 861-9292
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CA
Clinical Social Worker 1041C0700X 90370 CA
Clinical Social Worker 1041C0700X 116236 CA Primary

Addresses

Primary practice location

3438 Mendocino Ave Ste B
Santa Rosa, CA 95403-2275

Mailing address

3438 Mendocino Ave Ste B
Santa Rosa, CA 95403-2275
Phone (707) 387-4525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250610001186 CA Practitioner - Clinical Social Worker 9638689573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoma Therapy NetworkGroup PAC ID 1759633357, 4 clinicians

Practice addresses (Care Compare)

3438 Mendocino Ave
Suite B
Santa Rosa, CA 95403-2275
Phone (707) 387-4525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90370CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoma Therapy Network CurrentSince May 29, 2025 Accepting new patients
Sonoma Therapy Network Support Services Inc Clinical PastSince Jan 1, 2022 Accepting new patients

Locations

3438 Mendocino Ave
#B
Santa Rosa, CA 95403
Phone (707) 387-4525

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690070400000",
    "number": "1013497544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 MENDOCINO AVE STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032275",
            "telephone_number": "707-387-4525",
            "fax_number": "707-703-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3438 MENDOCINO AVE STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032275",
            "telephone_number": "707-387-4525",
            "fax_number": "707-861-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "ASHLEY",
        "middle_name": "MIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2023-07-23",
        "certification_date": "2023-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "90370",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "116236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.