Provider Demographics
NPI:1356630156
Name:TOMASEVIC, ASHLEY HORNE (LCSW-S)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:HORNE
Last Name:TOMASEVIC
Suffix:
Gender:F
Credentials:LCSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3468 MULBERRY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-2253
Mailing Address - Country:US
Mailing Address - Phone:857-540-9637
Mailing Address - Fax:
Practice Address - Street 1:9413 FLATLANDS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3726
Practice Address - Country:US
Practice Address - Phone:718-272-1600
Practice Address - Fax:718-272-1660
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY076567-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical