Active NPI
Ashleigh Kinney, LCSW
- Clinical Social Worker
- Roanoke, TX
National Provider Identifier
1437588563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 55281
- Practice address
- 15324 Mallard Creek Street
Roanoke, TX 76262 - Phone
- (817) 946-4874
- NPI assigned
- Nov 8, 2013
- Last updated
- Nov 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 55281 | TX | Primary |
Addresses
Primary practice location
15324 Mallard Creek Street
Roanoke, TX 76262
Mailing address
15324 Mallard Creek St
Roanoke, TX 76262-3727
Phone (817) 946-4874
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
| License | State | Type | Specialty |
|---|---|---|---|
| 55281 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383868800000",
"number": "1437588563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15324 MALLARD CREEK ST",
"city": "ROANOKE",
"state": "TX",
"postal_code": "762623727",
"telephone_number": "817-946-4874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15324 MALLARD CREEK STREET",
"city": "ROANOKE",
"state": "TX",
"postal_code": "76262",
"telephone_number": "817-946-4874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNEY",
"first_name": "ASHLEIGH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-08",
"last_updated": "2013-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "55281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, TX
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- Kimberley a Baker, DDS, PA (Roanoke Family Dentistry)
- Maombi Joselyne Kuderha
- Camille Rogers Lahue, D.D.S.
- Kelvin Lam, O.D.
- Timothy M Lane, PH.D.
- Mark Christopher Lantzy, D. D. S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.