Provider Demographics
NPI:1285840504
Name:SWINSON, ASHLEY WILLIAMSON (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:WILLIAMSON
Last Name:SWINSON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 E CREEKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-2141
Mailing Address - Country:US
Mailing Address - Phone:910-939-8433
Mailing Address - Fax:866-728-0006
Practice Address - Street 1:127 RACINE DR STE 201
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-8834
Practice Address - Country:US
Practice Address - Phone:910-939-8433
Practice Address - Fax:866-728-0006
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0064341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1558WOtherBCBS
NC1558WOtherBCBS