Provider Demographics
NPI:1770153868
Name:GOICK, ASHLEY (LLMSW, CAADC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:GOICK
Suffix:
Gender:F
Credentials:LLMSW, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-5705
Mailing Address - Country:US
Mailing Address - Phone:989-928-3566
Mailing Address - Fax:
Practice Address - Street 1:1009 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BAY CITY MI
Practice Address - State:MI
Practice Address - Zip Code:48708-2159
Practice Address - Country:US
Practice Address - Phone:989-928-3566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
MI68511148011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical