Provider Demographics
NPI:1366173494
Name:ROSENKRANZ, ASHLEY A (LCSW)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:A
Last Name:ROSENKRANZ
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 1:204 AUSTIN LOOP
Mailing Address - Street 2:
Mailing Address - City:FORT BENNING
Mailing Address - State:GA
Mailing Address - Zip Code:31905-7301
Mailing Address - Country:US
Mailing Address - Phone:717-491-0841
Mailing Address - Fax:
Practice Address - Street 1:204 AUSTIN LOOP
Practice Address - Street 2:
Practice Address - City:FORT BENNING
Practice Address - State:GA
Practice Address - Zip Code:31905-7301
Practice Address - Country:US
Practice Address - Phone:717-491-0841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-20
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0097891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical