Individual provider Active NPI

Ashley Estelle Cliborne, LCSW

  • Clinical Social Worker
  • Midlothian, VA
National Provider Identifier
1336822576
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015453 Issued in VA
Practice address
13805 Village Mill Dr Ste 201
Midlothian, VA 23114-4304
Phone
(804) 404-6553
NPI assigned
Aug 14, 2023
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 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 0904015453 VA Primary

Addresses

Primary practice location

13805 Village Mill Dr Ste 201
Midlothian, VA 23114-4304

Mailing address

13805 Village Mill Dr Ste 201
Midlothian, VA 23114-4304
Phone (804) 404-6553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 19, 2024 through Sep 19, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904015453VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman Counseling Solutions PLLC CurrentSince Nov 26, 2023 Accepting new patients
Richmond Creative Counseling Clinical Past Accepting new patients
Richmond Creative Counseling, LLC Past Accepting new patients

Locations

13805 Village Mill Dr
Ste 201
Midlothian, VA 23114
Phone (804) 404-6553

Organizations & group practices 3

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": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1336822576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13805 VILLAGE MILL DR STE 201",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144304",
            "telephone_number": "804-404-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13805 VILLAGE MILL DR STE 201",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144304",
            "telephone_number": "804-404-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIBORNE",
        "first_name": "ASHLEY",
        "middle_name": "ESTELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.