Active NPI
Ajm Clinical Therapy & Consulting, PLLC
- Clinical Social Worker
- Desoto, TX
National Provider Identifier
1568096857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- AJM CLINICAL THERAPY & CONSULTING, PLLC
- Practice address
- 1666 N Hampton Rd Ste 103
Desoto, TX 75115-2390 - Phone
- (817) 677-8382
- NPI assigned
- Feb 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Jones-McCracken, LCSW
- Title
- Clinical Social Worker
- Phone
- (817) 677-8382
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1666 N Hampton Rd Ste 103
Desoto, TX 75115-2390
Mailing address
2750 Clear Lake Dr
Midlothian, TX 76065-6251
Phone (469) 765-2014
National Provider Directory
National Provider DirectoryLocations
1666 N Hampton Rd
Ste 103
Desoto, TX 75115
Phone (469) 587-6330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646611200000",
"number": "1568096857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 CLEAR LAKE DR",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760656251",
"telephone_number": "469-765-2014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1666 N HAMPTON RD STE 103",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152390",
"telephone_number": "817-677-8382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AJM CLINICAL THERAPY & CONSULTING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-26",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A",
"authorized_official_last_name": "JONES-MCCRACKEN",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "817-677-8382",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.