Provider Demographics
NPI:1548419567
Name:ASHTON-WILLIAMS, AMY ROSE (LCSW, CADC II)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:ROSE
Last Name:ASHTON-WILLIAMS
Suffix:
Gender:F
Credentials:LCSW, CADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 NW 6TH ST
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-1501
Mailing Address - Country:US
Mailing Address - Phone:541-300-9994
Mailing Address - Fax:
Practice Address - Street 1:115 NW 6TH ST
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-1501
Practice Address - Country:US
Practice Address - Phone:541-300-9994
Practice Address - Fax:541-276-8605
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-15
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR07-09-56101YA0400X
ORL51851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)