Provider Demographics
NPI:1356144364
Name:MORAN, ASHLEY N (LMSW)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:N
Last Name:MORAN
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8809 LOVE FIELD CT
Mailing Address - Street 2:
Mailing Address - City:WILLOW SPRING
Mailing Address - State:NC
Mailing Address - Zip Code:27592-8664
Mailing Address - Country:US
Mailing Address - Phone:516-697-0088
Mailing Address - Fax:
Practice Address - Street 1:8809 LOVE FIELD CT
Practice Address - Street 2:
Practice Address - City:WILLOW SPRING
Practice Address - State:NC
Practice Address - Zip Code:27592-8664
Practice Address - Country:US
Practice Address - Phone:516-697-0088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY112997104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker