Provider Demographics
NPI:1588153035
Name:DODSON, ASHLEY L (PLMSW)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:L
Last Name:DODSON
Suffix:
Gender:F
Credentials:PLMSW
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:L
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:QBHP
Mailing Address - Street 1:323 CENTER STREET
Mailing Address - Street 2:SUITE 1401
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72201
Mailing Address - Country:US
Mailing Address - Phone:501-412-5327
Mailing Address - Fax:501-374-2420
Practice Address - Street 1:323 CENTER STREET
Practice Address - Street 2:SUITE 1401
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201
Practice Address - Country:US
Practice Address - Phone:501-412-5327
Practice Address - Fax:501-374-2420
Is Sole Proprietor?:No
Enumeration Date:2018-05-09
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPLMSW104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR226804795Medicaid