Provider Demographics
NPI:1770240657
Name:STICKNEY, ASHLEI LORAINE (MSW)
Entity Type:Individual
Prefix:
First Name:ASHLEI
Middle Name:LORAINE
Last Name:STICKNEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:ASHLEI
Other - Middle Name:LORAINE
Other - Last Name:TOWLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:8000 DEVEREUX DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-7907
Mailing Address - Country:US
Mailing Address - Phone:321-290-3764
Mailing Address - Fax:
Practice Address - Street 1:8000 DEVEREUX DR
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-7907
Practice Address - Country:US
Practice Address - Phone:321-290-3764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-26
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker