Provider Demographics
NPI:1831558006
Name:ASTON, JACQUELINE BRITTANY (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:BRITTANY
Last Name:ASTON
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2854 ASPEN HILL RD
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-2143
Mailing Address - Country:US
Mailing Address - Phone:240-620-6688
Mailing Address - Fax:
Practice Address - Street 1:2854 ASPEN HILL RD
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-2143
Practice Address - Country:US
Practice Address - Phone:240-620-6688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-17
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD209881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty