Active NPI
Ashley Moriah Roberts Gibbs, LCSW
- Clinical Social Worker
- Grayson, GA
National Provider Identifier
1073348652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW009263
- Practice address
- 1019 Lakeview Rd
Grayson, GA 30017-1144 - Phone
- (678) 209-3449
- Fax
- (678) 209-3449
- NPI assigned
- Sep 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW009263 | GA | Primary |
Addresses
Primary practice location
1019 Lakeview Rd
Grayson, GA 30017-1144
Mailing address
1019 Lakeview Rd
Grayson, GA 30017-1144
Phone (678) 209-3449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW009263 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1073348652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 LAKEVIEW RD",
"city": "GRAYSON",
"state": "GA",
"postal_code": "300171144",
"telephone_number": "678-209-3449",
"fax_number": "678-209-3449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 LAKEVIEW RD",
"city": "GRAYSON",
"state": "GA",
"postal_code": "300171144",
"telephone_number": "678-209-3449",
"fax_number": "678-209-3449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "ASHLEY",
"middle_name": "MORIAH ROBERTS",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-04",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW009263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grayson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.