Active NPI
Ashley Fowler, LCSW
- Clinical Social Worker
- Waco, TX
National Provider Identifier
1952831968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 55474
- Practice address
- 1600 Providence Dr
Waco, TX 76707 - Phone
- (254) 313-4200
- Fax
- (254) 313-4549
- NPI assigned
- Jun 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 55474 | TX | Primary |
Addresses
Primary practice location
1600 Providence Dr
Waco, TX 76707
Mailing address
1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200
Other practice location 1
213 S Madison St
Mc Gregor, TX 76657-2328
Phone (254) 236-4158
Other practice location 2
213 S Madison St
Mc Gregor, TX 76657-2328
Phone (254) 236-4158
Other names 1
- Ashley Laura
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55474 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaylee Gutierrez LPC PLLC | Current | Accepting new patients |
Locations
213 S Madison St
McGregor, TX 76657
Phone (254) 236-4158
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.
-
- Counselor
- McGregor, TX
- NPI 1073349221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1952831968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 PROVIDENCE DR",
"city": "WACO",
"state": "TX",
"postal_code": "767072261",
"telephone_number": "254-313-4200",
"fax_number": "254-313-4549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 PROVIDENCE DR",
"city": "WACO",
"state": "TX",
"postal_code": "76707",
"telephone_number": "254-313-4200",
"fax_number": "254-313-4549"
}
],
"practiceLocations": [
{
"address_1": "213 S Madison St",
"address_purpose": "LOCATION",
"city": "Mc Gregor",
"state": "TX",
"postal_code": "766572328",
"country_code": "US",
"telephone_number": "254-236-4158",
"fax_number": "254-613-5076",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "213 S Madison St",
"address_purpose": "LOCATION",
"city": "Mc Gregor",
"state": "TX",
"postal_code": "766572328",
"country_code": "US",
"telephone_number": "254-236-4158",
"fax_number": "254-613-5076",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOWLER",
"first_name": "ASHLEY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "55474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "LAURA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.