Provider Demographics
NPI:1265209589
Name:JOHNSON, ASHLEY CHANDLER (LCSW)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:CHANDLER
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:CHANDLER
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1399 GRASSLAND RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:NV
Mailing Address - Zip Code:89403-6392
Mailing Address - Country:US
Mailing Address - Phone:775-530-4000
Mailing Address - Fax:
Practice Address - Street 1:1399 GRASSLAND RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:NV
Practice Address - Zip Code:89403-6392
Practice Address - Country:US
Practice Address - Phone:775-530-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10439-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical