Individual provider Active NPI

Ashley Stafford, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1336685346
Registry record updated Aug 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
63341 Issued in TX
Practice address
3509 Hulen St Ste 107
Fort Worth, TX 76107-6834
Phone
(214) 674-7098
Fax
(817) 396-7085
NPI assigned
Jan 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2023

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 63341 TX Primary

Addresses

Primary practice location

3509 Hulen St Ste 107
Fort Worth, TX 76107-6834

Mailing address

3359 Cromart Ave
Fort Worth, TX 76133-1439
Phone (214) 674-0798

Other names 1

  • Ashley Martin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • 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
I20180430000604 TX Practitioner - Clinical Social Worker 3971867920 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Behavioral Health Authority CurrentSince Jan 27, 2025 Accepting new patients
Stafford Healing Consultants, LLC Clinical CurrentSince Jul 3, 2018 Accepting new patients
Psychiatric Medical Associates, PA CurrentSince Jan 11, 2025 Accepting new patients
North Texas Behavioral Health Authority Clinical PastSince Apr 24, 2022 Accepting new patients

Locations

8111 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75251
Phone (214) 366-9407

3509 Hulen St
Ste 107
Fort Worth, TX 76107
Phone (214) 674-0798

1550 Norwood Dr
Ste 313
Hurst, TX 76054
Phone (214) 674-0798

108 W Grove St
Kaufman, TX 75142
Phone (214) 366-9407

6404 International Pkwy
Ste 1010
Plano, TX 75093
Phone (972) 267-1988

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691280000000",
    "number": "1336685346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3359 CROMART AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761331439",
            "telephone_number": "214-674-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 HULEN ST STE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076834",
            "telephone_number": "214-674-7098",
            "fax_number": "817-396-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "ASHLEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "MARTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.