Provider Demographics
NPI:1164392262
Name:QUINONES, ASHLEY RAE (ACSW)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RAE
Last Name:QUINONES
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:ASHLEI
Other - Middle Name:RAE
Other - Last Name:QUINONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ACSW
Mailing Address - Street 1:5737 KANAN RD
Mailing Address - Street 2:P.O. BOX #326
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-1601
Mailing Address - Country:US
Mailing Address - Phone:818-621-4315
Mailing Address - Fax:
Practice Address - Street 1:2500 S C ST STE C
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93033-4573
Practice Address - Country:US
Practice Address - Phone:805-289-1717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA129576104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker