Active NPI
Ashten Marie Wiedebusch, LMSW
- Clinical Social Worker
- Weatherford, TX
National Provider Identifier
1124900782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 109263
- Practice address
- 114 N Waco St
Weatherford, TX 76086-3232 - Phone
- (817) 594-3052
- NPI assigned
- Jul 24, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 109263 | TX | Primary |
| Social Worker | 104100000X | 109263 | TX |
Addresses
Primary practice location
114 N Waco St
Weatherford, TX 76086-3232
Mailing address
174 College Park Dr Apt 165
Weatherford, TX 76086-6494
Phone (940) 507-0807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2101 W Pearl St
Granbury, TX 76048-1894
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pecan Valley MHMR Region | Current | Accepting new patients | |
| Pecan Valley MHMR Region | Clinical | Current | Accepting new patients |
Locations
2101 W Pearl St
Granbury, TX 76048
Phone (817) 579-4400
906 W Lingleville Rd
Stephenville, TX 76401
Phone (254) 968-4181
1715 Santa Fe Dr
Weatherford, TX 76086
Phone (817) 579-4400
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.
-
- Primary Care Nurse Practitioner
- Cleburne, TX
- NPI 1285342295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1124900782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 COLLEGE PARK DR APT 165",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760866494",
"telephone_number": "940-507-0807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 N WACO ST",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760863232",
"telephone_number": "817-594-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEDEBUSCH",
"first_name": "ASHTEN",
"middle_name": "MARIE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-24",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "109263",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "109263",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.