Provider Demographics
NPI:1508175829
Name:ROBERTS, ASHLEY (LISW)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:OVERTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW
Mailing Address - Street 1:2222 CHERRY ST STE 2300
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2675
Mailing Address - Country:US
Mailing Address - Phone:419-251-8064
Mailing Address - Fax:419-251-7764
Practice Address - Street 1:2222 CHERRY ST STE 2300
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2675
Practice Address - Country:US
Practice Address - Phone:419-251-8064
Practice Address - Fax:419-251-7764
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.12015921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical