Individual provider Active NPI

Kathryn Taylor Ashmore, LCSW

  • Clinical Social Worker
  • Brookhaven, GA
National Provider Identifier
1043832298
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW008336 Issued in GA
Practice address
2801 Buford Hwy NE Ste 100
Brookhaven, GA 30329-2146
Phone
(678) 820-7830
Fax
(678) 373-0339
NPI assigned
May 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW008336 GA Primary

Addresses

Primary practice location

2801 Buford Hwy NE Ste 100
Brookhaven, GA 30329-2146

Mailing address

2801 Buford Hwy NE Ste 100
Brookhaven, GA 30329-2146
Phone (678) 820-7830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20230310001399 GA Practitioner - Clinical Social Worker 5597138651 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW008336GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Mar 2, 2026 Accepting new patients
Advantage Behavioral Health Systems CurrentSince Nov 26, 2022 Accepting new patients
Athens Model Neighborhood Health Center Inc CurrentSince Aug 1, 2023 Accepting new patients
Athens Model Neighborhood Health Center Inc Current Accepting new patients

Locations

870 Gaines School Rd
Athens, GA 30605
Phone (706) 546-7473

402 McKinley Dr
Athens, GA 30601
Phone (706) 543-1145

250 Bray St
Athens, GA 30601
Phone (706) 542-9746

675 College Ave
Athens, GA 30601
Phone (706) 546-5526

250 North Ave
Athens, GA 30601
Phone (706) 542-8656

2801 Buford Hwy NE
Ste 100
Brookhaven, GA 30329
Phone (678) 820-7830

Organizations & group practices 5

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": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1043832298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BUFORD HWY NE STE 100",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292146",
            "telephone_number": "678-820-7830",
            "fax_number": "678-373-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BUFORD HWY NE STE 100",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292146",
            "telephone_number": "678-820-7830",
            "fax_number": "678-373-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHMORE",
        "first_name": "KATHRYN",
        "middle_name": "TAYLOR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

Verify at the official NPI Registry.