Ashley Brooke Boatman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

63342 Issued in TX

Practice address

1402 S Custer Rd
#204
McKinney, TX 75072-1452

Phone

(469) 712-9134

Fax

(469) 375-2485

NPI assigned

Jan 24, 2020

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 Brooke Wilson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lucy F. Underwood PHD LPC-S PLLC

  • Professional Counselor
  • McKinney, TX
  • NPI 1760860431
  NPD (past)
• Underwood Counseling & Consultation PLLC

  • Mental Health Counselor
  • McKinney, TX
  • NPI 1851867584
  NPD (past)

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1821628215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 LLANO AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066317",
            "telephone_number": "214-477-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S CUSTER RD",
            "address_2": "#204",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750721452",
            "telephone_number": "469-712-9134",
            "fax_number": "469-375-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATMAN",
        "first_name": "ASHLEY",
        "middle_name": "BROOKE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "WILSON",
            "middle_name": "BROOKE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicolle Ginsberg Block, M.D.
• Bloommed, LLC
• Jane Everett Blount, OTR
• Bluebonnet Dermatology PLLC
• BM Healthcare Services Group LLC
• Richard Martin Boatman, MD
• Sierra Bodnar, LPC
• Cassandra Boduch, MD
• Margaret Boger, OTR
• Eugenia Paulita Bogert, MD

• Clinical Social Worker in McKinney, TX
• Providers in McKinney, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.