Provider Demographics
NPI:1356767255
Name:AGAN, ASHLEY (LMSW)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:
Last Name:AGAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 NORWOOD HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-2334
Mailing Address - Country:US
Mailing Address - Phone:607-259-2280
Mailing Address - Fax:
Practice Address - Street 1:618 NORWOOD HOUSE RD
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2334
Practice Address - Country:US
Practice Address - Phone:607-259-2280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-16
Last Update Date:2014-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW129036104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker