Provider Demographics
NPI:1073101200
Name:STEELMAN, ASHLEY DORA
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:DORA
Last Name:STEELMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:WOODBINE
Mailing Address - State:NJ
Mailing Address - Zip Code:08270-4016
Mailing Address - Country:US
Mailing Address - Phone:609-231-0566
Mailing Address - Fax:
Practice Address - Street 1:507 S. ROUTE 9
Practice Address - Street 2:
Practice Address - City:MARMORA
Practice Address - State:NJ
Practice Address - Zip Code:08270
Practice Address - Country:US
Practice Address - Phone:609-231-0566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL066254001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical