Midkiff, Ashley Brooke

Midkiff, Ashley Brooke is an sole proprietor health care provider with primary practice located at 2139 W State Road 434 Ste 102 , Longwood FL 32779-5019. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Midkiff, Ashley Brooke can be contacted via phone (407) 789-2673.

Contact Information

Primary practice address
2139 W State Road 434 Ste 102 Longwood FL 32779-5019
Phone: (407) 789-2673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW12303 Florida
Behavioral Health & Social Service Providers / Social Worker 104100000X SW12303 Florida

Profile Details

NPI number 1528457520
LBN Legal business name Midkiff, Ashley Brooke
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2015
Last updated Jun 16th, 2022 - about 2 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 1528457520 NPPES
Florida MEDICAID 017254000

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