Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Staci Lyn Ashby

Individual provider Clinical Social Worker · NPI 1407364128

Staci Lyn Ashby is a Clinical Social Worker in West Covina, California. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2018
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Practice location Address checks out

2155 E Garvey Ave N Ste B17
West Covina, CA 91791-1545
Phone: (626) 489-9144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 128608 (CA)

Record details

NPI number1407364128
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 16, 2018
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address2155 E Garvey Ave N Ste B17, West Covina, CA 91791-1545

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

Other providers in West Covina