Provider Demographics
NPI:1306230115
Name:SUTER, ASHLEY (LICSW)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:SUTER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7807 S BLACKBERRY ST
Mailing Address - Street 2:
Mailing Address - City:CHENEY
Mailing Address - State:WA
Mailing Address - Zip Code:99004-8692
Mailing Address - Country:US
Mailing Address - Phone:509-280-3703
Mailing Address - Fax:
Practice Address - Street 1:7807 S BLACKBERRY ST
Practice Address - Street 2:
Practice Address - City:CHENEY
Practice Address - State:WA
Practice Address - Zip Code:99004-8692
Practice Address - Country:US
Practice Address - Phone:509-280-3703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW603613341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical