Individual provider Active NPI

Rebekah Daugherty Ashlock, LCSW

  • Clinical Social Worker
  • Hampstead, NC
National Provider Identifier
1578791414
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006387 Issued in NC
Practice address
247 E Conolly CT
Hampstead, NC 28443-3964
Phone
(910) 777-9932
Fax
(910) 777-9932
NPI assigned
Jun 30, 2009
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C006387 NC Primary

Addresses

Primary practice location

247 E Conolly CT
Hampstead, NC 28443-3964

Mailing address

247 E Conolly CT
Hampstead, NC 28443-3964
Phone (910) 777-9932

Other names 1

  • Rebekah Daugherty Rochelle Former name

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

LicenseStateTypeSpecialty
C006387NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Psychological & Counseling Services PLLC PastSince Jul 17, 2012 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1578791414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 E CONOLLY CT",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433964",
            "telephone_number": "910-777-9932",
            "fax_number": "910-777-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 E CONOLLY CT",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433964",
            "telephone_number": "910-777-9932",
            "fax_number": "910-777-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLOCK",
        "first_name": "REBEKAH",
        "middle_name": "DAUGHERTY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "ROCHELLE",
            "middle_name": "DAUGHERTY",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hampstead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.