Provider Demographics
NPI:1144038597
Name:ATKINS, ASHLEY (MSW, SWLC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:ATKINS
Suffix:
Gender:F
Credentials:MSW, SWLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 548
Mailing Address - Street 2:
Mailing Address - City:BIGFORK
Mailing Address - State:MT
Mailing Address - Zip Code:59911-0548
Mailing Address - Country:US
Mailing Address - Phone:406-210-6886
Mailing Address - Fax:
Practice Address - Street 1:395 KILA RD
Practice Address - Street 2:
Practice Address - City:KILA
Practice Address - State:MT
Practice Address - Zip Code:59920-9741
Practice Address - Country:US
Practice Address - Phone:406-260-5257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-18
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-SWLC-LIC-623261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical