Provider Demographics
NPI:1295308617
Name:FLORES, ASHLEY N (LCSW-C, CAC-AD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:N
Last Name:FLORES
Suffix:
Gender:F
Credentials:LCSW-C, CAC-AD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26262 T WOOD DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20659-4652
Mailing Address - Country:US
Mailing Address - Phone:240-682-5340
Mailing Address - Fax:
Practice Address - Street 1:3651 FAU BLVD STE 400
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6489
Practice Address - Country:US
Practice Address - Phone:561-567-8795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD231381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical