Healthcare Provider Details
I. General information
NPI: 1457845646
Provider Name (Legal Business Name): ASHLEY MARIE RICH CLAIR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/20/2018
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1736 N PLANTATION DR
NIXA MO
65714-6300
US
IV. Provider business mailing address
PO BOX 844715
KANSAS CITY MO
64184-4715
US
V. Phone/Fax
- Phone: 417-761-5495
- Fax: 417-761-5496
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 2025050582 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: