Provider Demographics
NPI:1740561984
Name:MADRY, ASHLEY MAGEE (LICSW)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MAGEE
Last Name:MADRY
Suffix:
Gender:
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2126 6TH AVE SE STE 204
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-5123
Mailing Address - Country:US
Mailing Address - Phone:256-510-1235
Mailing Address - Fax:
Practice Address - Street 1:2126 6TH AVE SE STE 204
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-5123
Practice Address - Country:US
Practice Address - Phone:256-501-1235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-01
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3514C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1043824014OtherNPI 2