Provider Demographics
NPI:1548749260
Name:BLUEFORD, ASHLEY SOPHIA (LCSW)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:SOPHIA
Last Name:BLUEFORD
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 1:661 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-3922
Mailing Address - Country:US
Mailing Address - Phone:510-421-9761
Mailing Address - Fax:
Practice Address - Street 1:661 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-3922
Practice Address - Country:US
Practice Address - Phone:925-502-7934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-13
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1217201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical