Provider Demographics
NPI:1043255680
Name:ASHER, MARILYN K (LICSW, LCDP, CAS)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:K
Last Name:ASHER
Suffix:
Gender:F
Credentials:LICSW, LCDP, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 899
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02813-0899
Mailing Address - Country:US
Mailing Address - Phone:401-364-7705
Mailing Address - Fax:401-364-9104
Practice Address - Street 1:4705A OLD POST RD
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:RI
Practice Address - Zip Code:02813-1819
Practice Address - Country:US
Practice Address - Phone:401-364-7705
Practice Address - Fax:401-364-9104
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILCDP00198101YA0400X
RIISW014581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1020890OtherBEACON/NHP
RI62-69565OtherUNITED BEHAVIORAL HEALTH
RI30627-0OtherRI BLUE CROSS/BLUE SHIELD
RI262451OtherMHN/TRICARE
RI408815OtherRI BLUE CHIP
RIMA29511Medicaid
RI30627-0OtherRI BLUE CROSS/BLUE SHIELD
RI007007217Medicare ID - Type UnspecifiedMEDICARE
RI269001875Medicare PIN