Ashton Doby Tisdale, LISW-CP, LAC, AADC is a
Social Worker - Clinical based in Columbia, South Carolina. Ashton Doby Tisdale is licensed to practice in South Carolina (license number 10820) and her current practice location is
1224 Pickens St Ste 220, Columbia, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 875-1699.
NPI number for Ashton Doby Tisdale is 1871093922 and her current mailing address is 1461 Heins Rd, Blythewood, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871093922.
Healthcare Provider's Profile
Full Name | Ashton Doby Tisdale |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1224 Pickens St Ste 220, Columbia, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871093922
- Provider Enumeration Date: 02/15/2018
- Last Update Date: 07/27/2021
Medical Identifiers
Medical identifiers for Ashton Doby Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871093922 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 10820 (South Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | 10820 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashton Doby Tisdale is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ashton Doby Tisdale, LISW-CP, LAC, AADC 1461 Heins Rd, Blythewood, SC 29016-8922 Ph: (803) 875-1699 | Ashton Doby Tisdale, LISW-CP, LAC, AADC 1224 Pickens St Ste 220, Columbia, SC 29201-3428 Ph: (803) 875-1699 |
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