Individual provider Active NPI

Ashley Grace Clocher, MSW, LCSW

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1891121372
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009593 Issued in NC
Practice address
548 Sandhurst Dr
Fayetteville, NC 28304-4426
Phone
(910) 484-3400
Fax
(910) 484-3404
NPI assigned
Sep 17, 2013
Last updated
Jan 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 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 C009593 NC Primary

Addresses

Primary practice location

548 Sandhurst Dr
Fayetteville, NC 28304-4426

Mailing address

5039 Westerly Dr
Fayetteville, NC 28314-8543
Phone (910) 759-8779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20151107000128 NC Practitioner - Clinical Social Worker 3173833902 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2587 Ravenhill Dr
Fayetteville, NC 28303-5451
Phone (910) 323-1543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Best Day Psychiatry and Counseling, PC Clinical CurrentSince Jun 6, 2024 Accepting new patients
Renewed Promise, PLLC Clinical Current Accepting new patients
Robert C. Pennebaker PLLC Clinical CurrentSince Jun 1, 2023 Accepting new patients
Best Day Psychiatry and Counseling, PC CurrentSince Jun 6, 2024 Accepting new patients

Locations

2587 Ravenhill Dr
Fayetteville, NC 28303
Phone (910) 323-1545

2931 Breezewood Ave
Ste 104
Fayetteville, NC 28303
Phone (910) 229-6275

548 Sandhurst Dr
Fayetteville, NC 28304
Phone (910) 484-3400

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1891121372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 WESTERLY DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283148543",
            "telephone_number": "910-759-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044426",
            "telephone_number": "910-484-3400",
            "fax_number": "910-484-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOCHER",
        "first_name": "ASHLEY",
        "middle_name": "GRACE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.