Provider Demographics
NPI:1578974853
Name:HADY, ASHLEY R (MSW/LCSW)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:R
Last Name:HADY
Suffix:
Gender:F
Credentials:MSW/LCSW
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:R
Other - Last Name:WALSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW/LCSW
Mailing Address - Street 1:406 ELM ST
Mailing Address - Street 2:
Mailing Address - City:BOSCOBEL
Mailing Address - State:WI
Mailing Address - Zip Code:53805-1216
Mailing Address - Country:US
Mailing Address - Phone:608-391-2434
Mailing Address - Fax:888-485-3133
Practice Address - Street 1:406 ELM ST
Practice Address - Street 2:
Practice Address - City:BOSCOBEL
Practice Address - State:WI
Practice Address - Zip Code:53805-1216
Practice Address - Country:US
Practice Address - Phone:608-357-2700
Practice Address - Fax:608-357-2150
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-08
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8466-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical