Provider Demographics
NPI:1790335735
Name:PANGILINAN, ASHLEY SARAHLOUISE (LCSW)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:SARAHLOUISE
Last Name:PANGILINAN
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:SARAHLOUISE
Other - Last Name:ZIEGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:222 E JEFFERSON ST APT 1208
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-0412
Mailing Address - Country:US
Mailing Address - Phone:619-855-0535
Mailing Address - Fax:
Practice Address - Street 1:222 E JEFFERSON ST APT 1208
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-0412
Practice Address - Country:US
Practice Address - Phone:619-855-0535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-230001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical