Provider Demographics
NPI:1497095640
Name:GOODWIN, ASHLEY RYAN (LCSW)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RYAN
Last Name:GOODWIN
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 1:2270 ARAPAHOE RD
Mailing Address - Street 2:SUITE 132 #115
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-8016
Mailing Address - Country:US
Mailing Address - Phone:626-770-4511
Mailing Address - Fax:
Practice Address - Street 1:400 E SIMPSON ST STE 108
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-2359
Practice Address - Country:US
Practice Address - Phone:720-617-2386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-26
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099305591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical