Provider Demographics
NPI:1609250240
Name:CURETON, ASHLEY KEONA-SHAW (MSW, LCSW, LCAS)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KEONA-SHAW
Last Name:CURETON
Suffix:
Gender:F
Credentials:MSW, LCSW, LCAS
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:KEONA
Other - Last Name:SHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW, LCAS
Mailing Address - Street 1:132 COMMERCIAL DR STE 120
Mailing Address - Street 2:
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-2887
Mailing Address - Country:US
Mailing Address - Phone:828-248-1117
Mailing Address - Fax:
Practice Address - Street 1:219 LE PHILLIP CT NE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2900
Practice Address - Country:US
Practice Address - Phone:704-721-5551
Practice Address - Fax:704-721-5579
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-14
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-21606101YA0400X
NCP009600101YM0800X
NCC0109451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health