Ashleigh Pratt, LCSW, LICSW

Individual provider Active NPI Clinical Social Worker · T Or C, NM

NPI 1093094591 · NPPES record last updated Apr 17, 2025

Key facts

NPI
1093094591
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
SWB-2023-0764 (NM)
Practice address
808 Fir St
T Or C, NM 87901-1724
Phone
(505) 433-1427
NPI assigned
Aug 15, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LICSW127004MAMDClinical Social Worker
SWB-2023-0764NMMDClinical Social Worker
402514NMMDSchool Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LICSW127004 MA
School Social Worker 1041S0200X 402514 NM
Clinical Social Worker 1041C0700X SWB-2023-0764 NM Yes

Addresses

Primary practice location

808 Fir St
T Or C, NM 87901-1724

Mailing address

808 Fir St
Truth Or Consequences, NM 87901-1724
Phone (508) 560-4911

Other practice location 1

1801 N Pershing St
T Or C, NM 87901-1797
Phone (508) 560-4911

Other providers in T Or C, NM

All providers in T Or C, NM · Clinical Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.