Provider Demographics
NPI:1598438889
Name:ASCH, GALE L (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:GALE
Middle Name:L
Last Name:ASCH
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1272 SWARTZ RD
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NY
Mailing Address - Zip Code:13316-3426
Mailing Address - Country:US
Mailing Address - Phone:315-601-4946
Mailing Address - Fax:
Practice Address - Street 1:1272 SWARTZ RD
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NY
Practice Address - Zip Code:13316-3426
Practice Address - Country:US
Practice Address - Phone:315-601-4946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-01
Last Update Date:2021-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0811191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical