Provider Demographics
NPI:1134544851
Name:DOUGLASS-BARNES, ASHLYN ELISE (LCSW)
Entity type:Individual
Prefix:
First Name:ASHLYN
Middle Name:ELISE
Last Name:DOUGLASS-BARNES
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 1:2100 LEE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-1862
Mailing Address - Country:US
Mailing Address - Phone:407-644-7593
Mailing Address - Fax:407-628-0773
Practice Address - Street 1:2100 LEE RD
Practice Address - Street 2:SUITE A
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-1862
Practice Address - Country:US
Practice Address - Phone:407-644-7593
Practice Address - Fax:407-628-0773
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-04
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW113941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001190800Medicaid