Individual provider Active NPI

Ashley Stubblefield, LCSW

  • Clinical Social Worker
  • Round Rock, TX
National Provider Identifier
1831785427
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
65419 Issued in TX
Practice address
306 E Main St Ste 102
Round Rock, TX 78664-5220
Phone
(512) 593-8510
NPI assigned
Dec 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 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 65419 TX Primary

Addresses

Primary practice location

306 E Main St Ste 102
Round Rock, TX 78664-5220

Mailing address

8305 Racine TRL
Austin, TX 78717-5325
Phone (337) 789-2111

Other practice location 1

1300 N Mays St
Round Rock, TX 78664-4207
Phone (512) 661-2611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 8, 2024 through Mar 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
65419TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Starry PastSince Dec 1, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1831785427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 RACINE TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175325",
            "telephone_number": "337-789-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E MAIN ST STE 102",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645220",
            "telephone_number": "512-593-8510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 N Mays St",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786644207",
            "country_code": "US",
            "telephone_number": "512-661-2611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUBBLEFIELD",
        "first_name": "ASHLEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "65419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.