Provider Demographics
NPI:1053778134
Name:PERES, ASHLEY LYNNE (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LYNNE
Last Name:PERES
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:LYNNE
Other - Last Name:CHAPPELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2419 EISENHOWER AVE
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-3282
Mailing Address - Country:US
Mailing Address - Phone:219-384-3738
Mailing Address - Fax:
Practice Address - Street 1:2419 EISENHOWER AVE
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-3282
Practice Address - Country:US
Practice Address - Phone:219-384-3738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-21
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW614957591041C0700X
IN34011761A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical