Provider Demographics
NPI:1497000731
Name:WARD, ASHER ZASLAW (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ASHER
Middle Name:ZASLAW
Last Name:WARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:ASHER
Other - Middle Name:RENE
Other - Last Name:ZASLAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:257 MATTIE M KELLY BLVD
Mailing Address - Street 2:
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32541-2876
Mailing Address - Country:US
Mailing Address - Phone:850-293-7991
Mailing Address - Fax:
Practice Address - Street 1:1008 AIRPORT RD STE D
Practice Address - Street 2:
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32541-2822
Practice Address - Country:US
Practice Address - Phone:850-424-5210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 103931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical