Active NPI
Ashley Barksdale, EDD, LCSW
- Clinical Social Worker
- Columbus, MS
National Provider Identifier
1609309145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C10953
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200009883 | Medicaid | MS | |
| 200009708 | Medicaid | MS | |
| 200009755 | Medicaid | MS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AD23-052B | MS | MD | Addiction (Substance Use Disorder) Counselor |
| 5726C | AL | MD | Clinical Social Worker |
| C017267 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barksdale Missions, LLC | Addiction (Substance Use Disorder) | Current | 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.
-
- Clinical Social Worker
- Columbus, MS
- NPI 1760250419
Addiction (Substance Use Disorder), MS
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.