Ashley Anne Wardlaw, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9820-C Issued in AR

Practice address

91 W Colt Square Dr Ste 1
Fayetteville, AR 72703-2846

Phone

(479) 684-8998

NPI assigned

May 22, 2015

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 A Wardlaw Former name

Medicare fee-for-service enrollment

Enrolled in AR

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

Locations

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.

• Pure Balance of Nwa PLLC

  • Psychiatry Physician
  • Rogers, AR
  • NPI 1073359931
  Medicare reassignment NPD
• University of Arkansas for Medical Sciences

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1588654016
  Medicare reassignment NPD
• Ashley Wardlaw, LCSW, LLC

  dba Therapy Vitality

  • Clinical Social Worker
  • Fayetteville, AR
  • NPI 1205724051
  NPD Authorized official
• University of Arkansas for Medical Sciences

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1023795051
  NPD

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1598144594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 W COLT SQUARE DR STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 W COLT SQUARE DR STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032846",
            "telephone_number": "479-684-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDLAW",
        "first_name": "ASHLEY",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "9820-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "WARDLAW",
            "middle_name": "A",
            "credential": "GRAHAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenda Ward
• Jeffrey Michael Ward, D.D.S.
• Tara L Ward
• Whitney Brooke Ward, APRN
• Rachel L Warden, LCSW
• Jennifer Deeker Wardlow, LMSW
• Markese Ware
• Justin Ray Warix, D.O.
• Warren C. Massey, DDS, Ms. PA
• Amanda Nicole Warren, D.C.

• Clinical Social Worker in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.