Provider Demographics
NPI:1609509025
Name:MOSELEY, ASHLEY BUTLER (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:BUTLER
Last Name:MOSELEY
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 1:65 LORRY CT
Mailing Address - Street 2:
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29841-7203
Mailing Address - Country:US
Mailing Address - Phone:803-640-5092
Mailing Address - Fax:
Practice Address - Street 1:65 LORRY CT
Practice Address - Street 2:
Practice Address - City:NORTH AUGUSTA
Practice Address - State:SC
Practice Address - Zip Code:29841-7203
Practice Address - Country:US
Practice Address - Phone:803-640-5092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-04
Last Update Date:2022-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0080891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical