Provider Demographics
NPI:1417474453
Name:ASCH, FELICIA RACHEL (LMSW)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:RACHEL
Last Name:ASCH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 NAVAHO TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-2808
Mailing Address - Country:US
Mailing Address - Phone:917-902-9715
Mailing Address - Fax:
Practice Address - Street 1:604 NAVAHO TRAIL DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07417-2808
Practice Address - Country:US
Practice Address - Phone:917-902-9715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101492-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker