Provider Demographics
NPI:1568803716
Name:FRENDEWEY, ASHLEY TEAL (LMSW, CAADC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:TEAL
Last Name:FRENDEWEY
Suffix:
Gender:F
Credentials:LMSW, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5589 E M 36 STE B8
Mailing Address - Street 2:
Mailing Address - City:PINCKNEY
Mailing Address - State:MI
Mailing Address - Zip Code:48169-9260
Mailing Address - Country:US
Mailing Address - Phone:810-207-1439
Mailing Address - Fax:810-355-1138
Practice Address - Street 1:5589 E M 36 STE B8
Practice Address - Street 2:
Practice Address - City:PINCKNEY
Practice Address - State:MI
Practice Address - Zip Code:48169-9260
Practice Address - Country:US
Practice Address - Phone:810-207-1439
Practice Address - Fax:810-335-1138
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical