Provider Demographics
NPI:1073635025
Name:FOREMAN-DOWLING, AMMIE JEAN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:AMMIE
Middle Name:JEAN
Last Name:FOREMAN-DOWLING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:AMMIE
Other - Middle Name:JEAN
Other - Last Name:FOREMAN-SHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:PO BOX 2333
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92586-1333
Mailing Address - Country:US
Mailing Address - Phone:951-704-9947
Mailing Address - Fax:
Practice Address - Street 1:27851 BRADLEY RD
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92586-2286
Practice Address - Country:US
Practice Address - Phone:951-363-2581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW-212841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical