1700928587 NPI number — MR. JUDITH ANNE ASHWAY MSW LICSW BCD

Table of content: MR. JUDITH ANNE ASHWAY MSW LICSW BCD (NPI 1700928587)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700928587 NPI number — MR. JUDITH ANNE ASHWAY MSW LICSW BCD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ASHWAY
Provider First Name:
JUDITH
Provider Middle Name:
ANNE
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MSW LICSW BCD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700928587
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
68 LEONARD ST
Provider Second Line Business Mailing Address:
2ND FLOOR
Provider Business Mailing Address City Name:
BELMONT
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02478
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-489-0254
Provider Business Mailing Address Fax Number:
617-484-9301

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
68 LEONARD ST
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
BELMONT
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02478
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-489-0254
Provider Business Practice Location Address Fax Number:
617-484-9301
Provider Enumeration Date:
02/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  103940 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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