Individual provider Active NPI

Ashley Barksdale, EDD, LCSW

  • Clinical Social Worker
  • Columbus, MS
National Provider Identifier
1609309145
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C10953 Issued in MS
Practice address
617 18TH Ave N
Columbus, MS 39701-2237
Phone
(662) 368-2008
Fax
(662) 339-8206
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X AD23-052B MS
Clinical Social Worker 1041C0700X C10953 MS Primary
Clinical Social Worker 1041C0700X C017267 NC
Clinical Social Worker 1041C0700X 5726C AL

Addresses

Primary practice location

617 18TH Ave N
Columbus, MS 39701-2237

Mailing address

617 18TH Ave N
Columbus, MS 39701-2237
Phone (662) 368-2008

Other practice location 1

4989 New Hope Rd
Columbus, MS 39702-8478
Phone (919) 802-2842

Other identifiers 3

IdentifierTypeStateIssuer
200009883MedicaidMS
200009708MedicaidMS
200009755MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20240108000410 MS Practitioner - Clinical Social Worker 2264883974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5374 Hwy 45 N
Columbus, MS 39705-2947
Phone (662) 368-2008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AD23-052BMSMDAddiction (Substance Use Disorder) Counselor
5726CALMDClinical Social Worker
C017267NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Barksdale Missions, LLC Addiction (Substance Use Disorder) CurrentSince Dec 27, 2023 Accepting new patients

Locations

617 18th Ave N
Columbus, MS 39701
Phone (662) 368-2008

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.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1609309145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 18TH AVE N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397012237",
            "telephone_number": "662-368-2008",
            "fax_number": "662-339-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 18TH AVE N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397012237",
            "telephone_number": "662-368-2008",
            "fax_number": "662-339-8206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4989 New Hope Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397028478",
            "country_code": "US",
            "telephone_number": "919-802-2842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKSDALE",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "EDD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MS",
            "license": "AD23-052B",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C10953",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017267",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5726C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200009883",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200009708",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200009755",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.