Provider Demographics
NPI:1053081745
Name:ASHMONT, STEVEN BLAKE (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:BLAKE
Last Name:ASHMONT
Suffix:
Gender:M
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 1:755 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-4636
Mailing Address - Country:US
Mailing Address - Phone:732-597-4483
Mailing Address - Fax:
Practice Address - Street 1:755 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-4636
Practice Address - Country:US
Practice Address - Phone:732-597-4483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06690700104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker