Individual provider Active NPI

Ashley Bratcher, LISW-CP

  • Clinical Social Worker
  • Bluffton, SC
National Provider Identifier
1932238532
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9402 Issued in SC
Practice address
26 Heartwood CT
Bluffton, SC 29910-9560
Phone
(843) 321-7107
Fax
(843) 326-4806
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 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 9402 SC Primary

Addresses

Primary practice location

26 Heartwood CT
Bluffton, SC 29910-9560

Mailing address

198 Okatie Village Dr Ste 103-332
Okatie, SC 29909-7527
Phone (843) 321-7107

Other names 1

  • Ashley Lynn Delucenay Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9402SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto State Pcit, LLC Clinical CurrentSince Jun 1, 2021 Accepting new patients
East Valley Pcit, PLLC Clinical Past Accepting new patients

Locations

198 Okatie Village Dr
Ste 103332
Okatie, SC 29909

Organizations & group practices 2

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1932238532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 OKATIE VILLAGE DR STE 103-332",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097527",
            "telephone_number": "843-321-7107",
            "fax_number": "843-326-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 HEARTWOOD CT",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109560",
            "telephone_number": "843-321-7107",
            "fax_number": "843-326-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATCHER",
        "first_name": "ASHLEY",
        "name_prefix": "Ms.",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "DELUCENAY",
            "middle_name": "LYNN",
            "credential": "CMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.