Provider Demographics
NPI:1750790424
Name:KINOR, ASHLEY LEANN (LISW-S)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LEANN
Last Name:KINOR
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 1/2 CONANT ST STE 204
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-3378
Mailing Address - Country:US
Mailing Address - Phone:419-279-3403
Mailing Address - Fax:
Practice Address - Street 1:311 1/2 CONANT ST STE 204
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-3378
Practice Address - Country:US
Practice Address - Phone:419-279-3403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS13034381041C0700X
OHI.1801257-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical