Individual provider Active NPI

Ashley B Emmons, LMSW

  • School Social Worker
  • Clovis, NM
National Provider Identifier
1346989506
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
SWB-2023-1333 Issued in NM
Practice address
1009 N Main St
Clovis, NM 88101-5932
Phone
(575) 769-4300
Fax
(575) 769-4333
NPI assigned
Jun 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
School Social Worker 1041S0200X SWB-2023-1333 NM Primary

Addresses

Primary practice location

1009 N Main St
Clovis, NM 88101-5932

Mailing address

1009 N Main St
Clovis, NM 88101-5932
Phone (575) 769-4300

Other practice location 1

1100 W 21st St
Clovis, NM 88101-4151
Phone (575) 769-2345 ext. 130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2023-1333NMMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1346989506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N MAIN ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015932",
            "telephone_number": "575-769-4300",
            "fax_number": "575-769-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N MAIN ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015932",
            "telephone_number": "575-769-4300",
            "fax_number": "575-769-4333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 W 21st St",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "NM",
            "postal_code": "881014151",
            "country_code": "US",
            "telephone_number": "575-769-2345 x130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMMONS",
        "first_name": "ASHLEY",
        "middle_name": "B",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "SWB-2023-1333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.