Ashley Ketchum, LCSW | |
2915 S Burleson Blvd, Burleson, TX 76028-1878 | |
(817) 447-3001 | |
Not Available |
Full Name | Ashley Ketchum |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2915 S Burleson Blvd, Burleson, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1366204414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 52922 (Texas) | Primary |
Entity Name | Mindful Possibilities Llc Robert Corey Boes Sole Mbr |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821730359 PECOS PAC ID: 9638541196 Enrollment ID: O20230209000206 |
Mailing Address | Practice Location Address |
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Ashley Ketchum, LCSW 1810 Sabine Dr, Midlothian, TX 76065-3827 Ph: (512) 694-2016 | Ashley Ketchum, LCSW 2915 S Burleson Blvd, Burleson, TX 76028-1878 Ph: (817) 447-3001 |
Claudia Stanley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2915 S Burleson Blvd, Burleson, TX 76028 Phone: 817-447-3001 | |
Kayla Autry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2915 S Burleson Blvd, Burleson, TX 76028 Phone: 817-447-3001 | |
Mrs. Donna Shemanne Nickerson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 621 Sw Johnson Ave, Burleson, TX 76028 Phone: 817-374-0155 | |
Darcy Ciesynski, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6924 Shady Hills Ln, Burleson, TX 76028 Phone: 817-437-3189 | |
Elizabeth Page, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 2426, Burleson, TX 76097 Phone: 817-247-9438 | |
Apryl R Green, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 308 Nw Jayellen Ave, Burleson, TX 76028 Phone: 214-663-4442 Fax: 817-775-2826 |