Provider Demographics
NPI:1437302437
Name:KING LOZANO, ASHLEE NICOLE (MSW/LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEE
Middle Name:NICOLE
Last Name:KING LOZANO
Suffix:
Gender:F
Credentials:MSW/LCSW
Other - Prefix:MS
Other - First Name:ASHLEE
Other - Middle Name:NICOLE
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:232 E GISH RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-4706
Mailing Address - Country:US
Mailing Address - Phone:408-437-8329
Mailing Address - Fax:
Practice Address - Street 1:232 EAST GISH ROAD
Practice Address - Street 2:EMQ FAMILIES FIRST
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-4706
Practice Address - Country:US
Practice Address - Phone:408-453-7616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006171A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical