Provider Demographics
NPI:1881260883
Name:REEVES, ASHLEY STOTTMAN (LISW)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:STOTTMAN
Last Name:REEVES
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7721 CANNON VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-8260
Mailing Address - Country:US
Mailing Address - Phone:859-801-6220
Mailing Address - Fax:
Practice Address - Street 1:7721 CANNON VALLEY DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-8260
Practice Address - Country:US
Practice Address - Phone:859-801-6220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.17003551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical