Provider Demographics
NPI:1881043149
Name:POHL, ASHLEE (LCSW)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:POHL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:
Other - Last Name:ESHLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:785 5TH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-709-6529
Practice Address - Street 1:964 ISABEL DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-7482
Practice Address - Country:US
Practice Address - Phone:717-274-9777
Practice Address - Fax:717-274-9815
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW131887104100000X
PACW0199141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACW019914OtherSTATE LICENSE
PA103757877Medicaid
13850667OtherCAQH