Provider Demographics
NPI:1255130118
Name:OROZCO, ASHTON MARIE
Entity type:Individual
Prefix:
First Name:ASHTON
Middle Name:MARIE
Last Name:OROZCO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ASHTON
Other - Middle Name:MARIE
Other - Last Name:BORDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:327 HOMER AVE
Mailing Address - Street 2:
Mailing Address - City:ROMEOVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60446-1631
Mailing Address - Country:US
Mailing Address - Phone:630-746-7022
Mailing Address - Fax:
Practice Address - Street 1:327 HOMER AVE
Practice Address - Street 2:
Practice Address - City:ROMEOVILLE
Practice Address - State:IL
Practice Address - Zip Code:60446-1631
Practice Address - Country:US
Practice Address - Phone:630-746-7022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490269631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical