Provider Demographics
NPI:1326598129
Name:GREGORY, ASHLEE (MSW)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:GREGORY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15530 LANDSBROOK RUN W
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-4518
Mailing Address - Country:US
Mailing Address - Phone:317-600-8883
Mailing Address - Fax:
Practice Address - Street 1:15530 LANDSBROOK RUN W
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-4518
Practice Address - Country:US
Practice Address - Phone:317-600-8883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-05
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN104100000X104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker