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ASHLEY KETCHUM LCSW
NPI 1366204414
Social Worker - Clinical in Fort Worth, TX

Active since January 24, 2024PECOS Enrolled
905 W CANTEY ST, FORT WORTH, TX 76110(512) 694-2016 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 14, 2026, Apr 10, 2024 (2 updates tracked since 2024).

About Ashley Ketchum Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY KETCHUM LCSW (NPI 1366204414) is an individual clinical provider in Fort Worth, Texas, licensed in Texas (52922) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366204414
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameASHLEY KETCHUMCredential: LCSW
Location Address905 W CANTEY STFort Worth, TX 76110-3205
Mailing Address905 W Cantey StFort Worth, TX 76110-3205 · (817) 382-1876
Phone(512) 694-2016
Sole ProprietorYes
Enumeration DateJanuary 24, 2024
Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1366204414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 52922
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
905 W CANTEY ST, Fort Worth, TX 76110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Ketchum Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.47 – $171.07
Typical copayment $0.00 (range $14.11 – $42.76)
Most-billed visit code NA
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEJANDRA BELLUCHE LPC
Counselor (Professional)
905 W CANTEY ST
FORT WORTH, TX 76110
Tarrant County (817) 382-1876
MRS. GABRIELA ANA PADILLA LPC
Counselor (Professional)
905 W CANTEY ST
FT WORTH, TX 76110
Tarrant County (972) 765-6573
ROBERT COREY BOES MSW, LCSW
Social Worker (Clinical)
905 W CANTEY ST
FORT WORTH, TX 76110
Tarrant County (817) 382-1876
MO MARTIN LPC-A
Counselor (Professional)
905 W CANTEY ST
FORT WORTH, TX 76110
Tarrant County (817) 382-1876
AMANDA DUNN LPC-A
Counselor (Professional)
905 W CANTEY ST
FORT WORTH, TX 76110
Tarrant County (817) 382-1876
MINDFUL POSSIBILITIES LLC ROBERT COREY BOES SOLE MBR
Clinic/Center (Mental Health (Including Community Mental Health Center))
905 W CANTEY ST
FORT WORTH, TX 76110
Tarrant County (817) 382-1876
NONA PERRY LCSW
Social Worker (Clinical)
905 W CANTEY ST
FORT WORTH, TX 76110
Tarrant County (817) 382-1876

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashley Ketchum's NPI number?

The NPI number for Ashley Ketchum is 1366204414. It was assigned to this individual provider in the NPPES registry on January 24, 2024.

Where is Ashley Ketchum located?

Ashley Ketchum practices at 905 W Cantey St, Fort Worth, TX 76110. The listed phone number is (512) 694-2016.

What is Ashley Ketchum's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ashley Ketchum enrolled in Medicare?

Yes. Ashley Ketchum is registered in the Medicare PECOS enrollment system.

What insurance does Ashley Ketchum accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Ashley Ketchum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashley Ketchum was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.