Provider Demographics
NPI:1376268300
Name:PATTON, ASHLEY RENEE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:RENEE
Last Name:PATTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:RENEE
Other - Last Name:HATTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:420 RUXTON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-2124
Mailing Address - Country:US
Mailing Address - Phone:724-650-2797
Mailing Address - Fax:
Practice Address - Street 1:420 RUXTON ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15211-2124
Practice Address - Country:US
Practice Address - Phone:724-650-2797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0224861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACW022486OtherCLINICAL SOCIAL WORK LICENSE