Provider Demographics
NPI:1992385140
Name:MERRIMAN, ASHLEY M (ASW)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:M
Last Name:MERRIMAN
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14703 PARRON AVE
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90249-3822
Mailing Address - Country:US
Mailing Address - Phone:310-740-1060
Mailing Address - Fax:
Practice Address - Street 1:14703 PARRON AVE
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90249-3822
Practice Address - Country:US
Practice Address - Phone:310-740-1060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-12
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA994601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical