Active NPI
Ashley Gordon Prater, LCSW
- Clinical Social Worker
- Bedford, TX
National Provider Identifier
1508629023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 53721
- Practice address
- 2004 Bedford Rd Ste 200
Bedford, TX 76021-7012 - Phone
- (469) 952-9413
- NPI assigned
- Feb 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 53721 | TX | |
| Clinical Social Worker | 1041C0700X | 53721 | TX | Primary |
Addresses
Primary practice location
2004 Bedford Rd Ste 200
Bedford, TX 76021-7012
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Other practice location 1
5701 Airport Rd Ste L103
Temple, TX 76502-7092
Phone (254) 724-2111
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | agordonprater1138922@direct.sw.org |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53721 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Current | Accepting new patients |
Locations
2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
Interoperability endpoints
- agordonprater1138922@direct.sw.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1508629023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 BEDFORD RD STE 200",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760217012",
"telephone_number": "469-952-9413"
}
],
"practiceLocations": [
{
"address_1": "5701 Airport Rd Ste L103",
"address_purpose": "LOCATION",
"city": "Temple",
"state": "TX",
"postal_code": "765027092",
"country_code": "US",
"telephone_number": "254-724-2111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORDON PRATER",
"first_name": "ASHLEY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-06",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "53721",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "53721",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agordonprater1138922@direct.sw.org",
"affiliation": "N",
"address_1": "5701 Airport Rd Ste L103",
"city": "Temple",
"state": "TX",
"country_code": "US",
"postal_code": "765027092",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.