Ashton Doby Tisdale, LISW-CP, LAC, AADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10820 Issued in SC

Practice address

1224 Pickens St Ste 220
Columbia, SC 29201-3428

Phone

(803) 875-1699

NPI assigned

Feb 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1871093922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 HEINS RD",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168922",
            "telephone_number": "803-875-1699",
            "fax_number": "803-728-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 PICKENS ST STE 220",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013428",
            "telephone_number": "803-875-1699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Windsor Cv Ste 303",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292231833",
            "country_code": "US",
            "telephone_number": "704-576-0252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 Knox Abbott Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Cayce",
            "state": "SC",
            "postal_code": "29033",
            "country_code": "US",
            "telephone_number": "803-896-5685",
            "fax_number": "803-896-5710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TISDALE",
        "first_name": "ASHTON",
        "middle_name": "DOBY",
        "credential": "LISW-CP, LAC, AADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "10820",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerrera Charnay Tindal, APRN
• Kylie Tindal, BSW
• Alexis M Tippmann, LMSW
• Rebecca Tirpak, PHARM.D
• Arie Tisdale
• Sierra Tisdelle, OD
• TJ Housing, LLC
• TLM Medical Services, LLC
• Markiya Toatley - Garcia, RBT
• Angela Denise Tobe Estrada

• Clinical Social Worker in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinical Social Worker in South Carolina

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