Provider Demographics
NPI:1750122917
Name:ASHMORE, HANNAH BECKWITH (LMSW)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:BECKWITH
Last Name:ASHMORE
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 1:1084 HOWELL MILL RD NW UNIT 636
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-5795
Mailing Address - Country:US
Mailing Address - Phone:203-505-1299
Mailing Address - Fax:
Practice Address - Street 1:5180 ROSWELL RD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-2293
Practice Address - Country:US
Practice Address - Phone:203-505-1299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA011686104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker