Provider Demographics
NPI:1376993592
Name:SMITH, ASHLEY C (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:C
Last Name:SMITH
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 1:20-28 SARGEANT ST STE 2
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-1412
Mailing Address - Country:US
Mailing Address - Phone:860-761-7340
Mailing Address - Fax:
Practice Address - Street 1:20-28 SARGEANT ST STE 2
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1412
Practice Address - Country:US
Practice Address - Phone:860-761-7340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-18
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No104100000XBehavioral Health & Social Service ProvidersSocial Worker