Individual provider Active NPI

Ashley Nichole Branham, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1194863464
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
82398 Issued in CA
Practice address
6500 Wilshire Blvd FL 19
Los Angeles, CA 90048-4920
Phone
(805) 764-9651
Fax
(747) 330-1670
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 82398 CA Primary

Addresses

Primary practice location

6500 Wilshire Blvd FL 19
Los Angeles, CA 90048-4920

Mailing address

PO Box 4625
Panorama City, CA 91412-4625
Phone (804) 397-7733

Other practice location 1

16940 Highway 14
Mojave, CA 93501-1238
Phone (661) 824-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250224002448 CA Practitioner - Clinical Social Worker 3577083369 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Virginia Commonwealth University, School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Heritage Medical Group IncGroup PAC ID 7517284029, 62 clinicians

Practice addresses (Care Compare)

3625 E Thousand Oaks Blvd
Suite 232
Westlake Village, CA 91362-6932
Phone (818) 518-9715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Valley Health Corporation CurrentSince Feb 6, 2025 Accepting new patients
Optum Behavioral Care of California, P.C. Clinical CurrentSince Sep 15, 2025 Accepting new patients
Northeast Valley Health Corporation Current Accepting new patients
Optum Behavioral Care of California, P.C. Current Accepting new patients
Northeast Valley Health Corporation CurrentSince Feb 6, 2025 Accepting new patients
Clarvida Past Accepting new patients

Locations

2175 Park Pl
El Segundo, CA 90245
Phone (310) 345-4200

7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656

12759 Van Nuys Blvd
Pacoima, CA 91331
Phone (818) 485-8250

2555 E Colorado Blvd
Pasadena, CA 91107
Phone (909) 989-4055

1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388

1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ashley.branham.p1@direct.nevhc.nextgenshare.com

Organizations & group practices 7

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1194863464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4625",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914124625",
            "telephone_number": "804-397-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 WILSHIRE BLVD FL 19",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484920",
            "telephone_number": "805-764-9651",
            "fax_number": "747-330-1670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16940 Highway 14",
            "address_purpose": "LOCATION",
            "city": "Mojave",
            "state": "CA",
            "postal_code": "935011238",
            "country_code": "US",
            "telephone_number": "661-824-5020",
            "fax_number": "661-824-5026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "ASHLEY",
        "middle_name": "NICHOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "82398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.