Provider Demographics
NPI:1811076862
Name:ASH, LORI J (LCSW)
Entity type:Individual
Prefix:MS
First Name:LORI
Middle Name:J
Last Name:ASH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24953 PASEO DE VALENCIA
Mailing Address - Street 2:SUITE 10-C
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-4342
Mailing Address - Country:US
Mailing Address - Phone:949-249-8877
Mailing Address - Fax:949-249-8877
Practice Address - Street 1:24953 PASEO DE VALENCIA
Practice Address - Street 2:SUITE 10-C
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-4342
Practice Address - Country:US
Practice Address - Phone:949-249-8877
Practice Address - Fax:949-249-8877
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS10044101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SW10044Medicare ID - Type Unspecified