Ley, Ellen
Ley, Ellen is an individual health care provider with primary practice located at 320 E Main St Ste 208, Ashland OR 97520-6801. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ley, Ellen can be contacted via phone (541) 500-8655.Contact Information
Primary practice address
320 E Main St Ste 208
Ashland OR 97520-6801
Phone: (541) 500-8655
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L5017SR | Oregon |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS11989 | California |
Profile Details
| NPI number | 1710015599 |
|---|---|
| LBN Legal business name | Ley, Ellen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jun 2nd, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710015599 | NPPES |
| California | MEDICAID | FHC03906F |
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