Individual provider Active NPI

Ashley Lauren Rogers, LCSW

  • Clinical Social Worker
  • Round Rock, TX
National Provider Identifier
1194204586
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3000 Joe Dimaggio Blvd Ste 54
Round Rock, TX 78665-3996
Phone
(512) 957-0008
NPI assigned
Aug 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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 61279 TX
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X TX Primary

Addresses

Primary practice location

3000 Joe Dimaggio Blvd Ste 54
Round Rock, TX 78665-3996

Mailing address

PO Box 497
Round Rock, TX 78680-0497
Phone (512) 957-0008

Other practice location 1

3400 Settlement Dr
Round Rock, TX 78665-1344
Phone (903) 221-3094

Other identifiers 1

IdentifierTypeStateIssuer
447738201MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191016003702 TX Practitioner - Clinical Social Worker 3971834292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3000 Joe Dimaggio Blvd
Suite 54
Round Rock, TX 78665-3996
Phone (512) 957-0008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61279TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life Chats Therapy, PLLC Clinical CurrentSince Sep 5, 2023 Accepting new patients
Georgetown Psychological Services PLLC Multi-Specialty CurrentSince Sep 26, 2019 Accepting new patients

Locations

4749 Williams Dr
Ste 301
Georgetown, TX 78633
Phone (512) 710-0551

3000 Joe Dimaggio Blvd
Ste 54
Round Rock, TX 78665
Phone (512) 387-3308

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.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1194204586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786800497",
            "telephone_number": "512-957-0008",
            "fax_number": "512-254-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 JOE DIMAGGIO BLVD STE 54",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653996",
            "telephone_number": "512-957-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Settlement Dr",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786651344",
            "country_code": "US",
            "telephone_number": "903-221-3094",
            "fax_number": "512-254-8058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ASHLEY",
        "middle_name": "LAUREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61279",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "447738201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.