Provider Demographics
NPI:1013409796
Name:LYKINS, ASHLEY N (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:N
Last Name:LYKINS
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:871 DEVONSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:TIPP CITY
Mailing Address - State:OH
Mailing Address - Zip Code:45371-2782
Mailing Address - Country:US
Mailing Address - Phone:937-620-7285
Mailing Address - Fax:
Practice Address - Street 1:12968 HARDIN PIKE
Practice Address - Street 2:
Practice Address - City:WAPAKONETA
Practice Address - State:OH
Practice Address - Zip Code:45895-8323
Practice Address - Country:US
Practice Address - Phone:419-722-8853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1701255104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty