De Verteuil, Ashley Josara

De Verteuil, Ashley Josara is an individual health care provider with primary practice located at 3300 Northern Blvd Fl 5 , Long Island City NY 11101-2215. She recently has 2 registered licenses in different health care specialties including 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. De Verteuil, Ashley Josara can be contacted via phone (646) 265-6237.

Contact Information

Primary practice address
3300 Northern Blvd Fl 5 Long Island City NY 11101-2215
Phone: (646) 265-6237
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 087991 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 091108 New York

Profile Details

NPI number 1306087440
LBN Legal business name De Verteuil, Ashley Josara
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2009
Last updated Jul 23rd, 2021 - about 3 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 1306087440 NPPES
New York MEDICAID AP0814

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