Provider Demographics
NPI:1104193507
Name:HUGHES, ASHLEY D (BSW, LSW)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:D
Last Name:HUGHES
Suffix:
Gender:F
Credentials:BSW, LSW
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:D
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW, LSW
Mailing Address - Street 1:28 N. MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:OH
Mailing Address - Zip Code:44874
Mailing Address - Country:US
Mailing Address - Phone:419-606-7306
Mailing Address - Fax:
Practice Address - Street 1:2233 ROCKY LN
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805
Practice Address - Country:US
Practice Address - Phone:419-281-3716
Practice Address - Fax:419-381-4605
Is Sole Proprietor?:No
Enumeration Date:2011-11-30
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.09008001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical