Provider Demographics
NPI:1467073916
Name:MILLINGTON, ASHLEY MARY (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:MARY
Last Name:MILLINGTON
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 BAUER DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-5002
Mailing Address - Country:US
Mailing Address - Phone:518-788-6733
Mailing Address - Fax:
Practice Address - Street 1:20 BAUER DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-5002
Practice Address - Country:US
Practice Address - Phone:518-788-6733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY089395-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical