Ashley Renee Couch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW18076 Issued in FL

Practice address

710 Oakfield Dr Ste 206
Brandon, FL 33511-4954

Phone

(754) 800-3261

NPI assigned

Feb 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Renee Lachance Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Life Solutions Services

  • Clinical Social Worker
  • Brandon, FL
  • NPI 1508345521

  FL

  Medicare reassignment
• Pathways Consultants Inc.

  • Psychologist
  • Brandon, FL
  • NPI 1396880878
  NPD (past)

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1407500978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 HICKORY CREEK BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118061",
            "telephone_number": "754-800-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 OAKFIELD DR STE 206",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114954",
            "telephone_number": "754-800-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "ASHLEY",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "LACHANCE",
            "middle_name": "RENEE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Costco Wholesale Corporation
• Steve Costello
• Crystal Cothern, LMT
• Cottage Manor, LLC
• Debora M. Coty, OTR/L
• Sally W Couch, SLP
• Lashonda Coulbertson
• Thomas Coulter, DC
• Counseling Services of Tampa Bay
• Counseling With C.a.R.E.

• All providers in Brandon, FL
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.