Provider Demographics
NPI:1568891414
Name:ASHE, NAKEYA JOYCE (LCSW)
Entity Type:Individual
Prefix:
First Name:NAKEYA
Middle Name:JOYCE
Last Name:ASHE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9125 S 48TH DR
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-2242
Mailing Address - Country:US
Mailing Address - Phone:619-248-0767
Mailing Address - Fax:
Practice Address - Street 1:9125 S 48TH DR
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-2242
Practice Address - Country:US
Practice Address - Phone:619-248-0767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-01
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-164591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical