Provider Demographics
NPI:1568249100
Name:CARNEY, ASHLEY (BSW)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:CARNEY
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:488 WASHINGTON ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-2961
Mailing Address - Country:US
Mailing Address - Phone:210-705-4277
Mailing Address - Fax:
Practice Address - Street 1:2990 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02119-1203
Practice Address - Country:US
Practice Address - Phone:781-234-5472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker