Ashley Tedford, LCSW
Individual provider Active NPI Clinical Social Worker · Roseville, CA
NPI 1245091834 · NPPES record last updated Jan 16, 2025
Key facts
- NPI
- 1245091834
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 114717 (CA)
- Practice address
- 1100 Melody LN
Roseville, CA 95678-5167 - Phone
- (916) 287-7232
- NPI assigned
- Jan 19, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240529002576 | CA | Practitioner - Clinical Social Worker | 1951743400 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for New Directions, Inc. | Current |
Accepting new patients | |
| Stephen M Pumphrey Licensed Clinical Social Workers Inc | Clinical | Past |
Accepting new patients |
Locations
23201 Mill Creek Dr
Ste 220
Laguna Hills, CA 92653
Phone (949) 460-5320
1100 Melody Ln
Ste 108
Roseville, CA 95678
27201 Tourney Rd
Ste 206
Valencia, CA 91355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 114717 | CA | Yes |
Addresses
Primary practice location
1100 Melody LN
Roseville, CA 95678-5167
Mailing address
PO Box 91
Roseville, CA 95678-0091
Phone (916) 287-7232
Other providers in Roseville, CA
- Robert S Taylor
- Whitney Grace Taylor
- Farina Tayo
- Gaetan Tchamba
- Sara Tchobanoff
- Carl Eric Tedrow
- Ozlem Tekelioglu
- Telcare Corporation
- Tele-Medicine Services Ny, PLLC
- Telehealth Specialty Medical Group
All providers in Roseville, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.