Active NPI
Ashley Bernal, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1992008171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 54631
- Practice address
- 9700 Bissonnet St Ste 1000W
Houston, TX 77036-8001 - Phone
- (832) 828-1005
- NPI assigned
- Dec 10, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 54631 | TX | |
| Clinical Social Worker | 1041C0700X | 54631 | TX | Primary |
Addresses
Primary practice location
9700 Bissonnet St Ste 1000W
Houston, TX 77036-8001
Mailing address
9700 Bissonnet St Ste 1000W
Houston, TX 77036-8001
Phone (832) 828-1005
Other practice location 1
333 N Santa Rosa St
San Antonio, TX 78207-3108
Phone (210) 704-4963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54631 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
Locations
2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958
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": "1291939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1992008171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9700 BISSONNET ST STE 1000W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770368001",
"telephone_number": "832-828-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 BISSONNET ST STE 1000W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770368001",
"telephone_number": "832-828-1005"
}
],
"practiceLocations": [
{
"address_1": "333 N Santa Rosa St",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782073108",
"country_code": "US",
"telephone_number": "210-704-4963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERNAL",
"first_name": "ASHLEY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-10",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": "54631",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "54631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.