Individual provider Active NPI

Ashley Pugeau Pearson, LCSW

  • Clinical Social Worker
  • Ocean Springs, MS
National Provider Identifier
1134296809
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C7032 Issued in MS
Practice address
2113 Government St Ste I-2E
Ocean Springs, MS 39564
Phone
(228) 222-8006
NPI assigned
Nov 29, 2006
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6367 LA
Clinical Social Worker 1041C0700X C7032 MS Primary

Addresses

Primary practice location

2113 Government St Ste I-2E
Ocean Springs, MS 39564

Mailing address

3818 Chaumont Cir
Ocean Springs, MS 39564-8539
Phone (504) 319-2837

Other practice location 1

4105 Hospital St Ste 104
Pascagoula, MS 39581-5312
Phone (228) 696-9224

Other practice location 2

2113 Government St Ste I-2E
Ocean Springs, MS 39564
Phone (228) 222-8006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20110228000227 MS Practitioner - Clinical Social Worker 7618028275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2113 Government St
Suite I 2E
Ocean Springs, MS 39564-3954
Phone (228) 222-8006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C7032MSMDClinical Social Worker
6367LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Seaside Psychotherapy Gulf Coast Clinical CurrentSince Aug 1, 2019 Accepting new patients
Jefferson Parish Human Services Authority PastSince Feb 24, 2022 Accepting new patients
Jefferson Parish Human Services Authority PastSince Jul 24, 2022 Accepting new patients
Jefferson Parish Human Services Authority PastSince Feb 24, 2022 Accepting new patients

Locations

2113 Government St
Ste I2E
Ocean Springs, MS 39564
Phone (228) 222-8006

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1134296809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 CHAUMONT CIR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395648539",
            "telephone_number": "504-319-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 GOVERNMENT ST STE I-2E",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "39564",
            "telephone_number": "228-222-8006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4105 Hospital St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Pascagoula",
            "state": "MS",
            "postal_code": "395815312",
            "country_code": "US",
            "telephone_number": "228-696-9224",
            "fax_number": "228-696-9228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2113 Government St Ste I-2E",
            "address_purpose": "LOCATION",
            "city": "Ocean Springs",
            "state": "MS",
            "postal_code": "39564",
            "country_code": "US",
            "telephone_number": "228-222-8006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "ASHLEY",
        "middle_name": "PUGEAU",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "6367",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C7032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.