Provider Demographics
NPI:1326348863
Name:ASHLEY, DAWN CHARISSE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:CHARISSE
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WURTZBURGER LANDSTR 24
Mailing Address - Street 2:
Mailing Address - City:ANSBACH
Mailing Address - State:BAVARIA
Mailing Address - Zip Code:91522
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:WURTZBURGER LANDSTR 24
Practice Address - Street 2:
Practice Address - City:ANSBACH
Practice Address - State:BAVARIA
Practice Address - Zip Code:91522
Practice Address - Country:DE
Practice Address - Phone:224-500-4714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-01
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 97871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical