Ashley, Jennifer

Ashley, Jennifer is an individual health care provider with primary practice located at 138 N Court Street , Wampsville NY 13163. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ashley, Jennifer can be contacted via phone (315) 366-2327.

Contact Information

Primary practice address
138 N Court Street Wampsville NY 13163
Phone: (315) 366-2327
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 96176 New York

Profile Details

NPI number 1992175681
LBN Legal business name Ashley, Jennifer
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2015
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992175681 NPPES
New York MEDICAID 160975006

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