Provider Demographics
NPI:1437580958
Name:FOSTER, JILLIAN BETH (LCSW, LCAS)
Entity Type:Individual
Prefix:
First Name:JILLIAN
Middle Name:BETH
Last Name:FOSTER
Suffix:
Gender:F
Credentials:LCSW, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 STONEY RIVER PATH
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-9120
Mailing Address - Country:US
Mailing Address - Phone:828-358-6500
Mailing Address - Fax:
Practice Address - Street 1:18 STONEY RIVER PATH
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-9120
Practice Address - Country:US
Practice Address - Phone:828-358-5600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-09
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3441101YA0400X
NCC0095211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)