Provider Demographics
NPI:1861059040
Name:MCPHERSON, ASHLEY DAWN (LSW)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:DAWN
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9 CHESAPEAKE PLZ
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:OH
Mailing Address - Zip Code:45619-1003
Mailing Address - Country:US
Mailing Address - Phone:740-297-6019
Mailing Address - Fax:
Practice Address - Street 1:379 ADAIR AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-2915
Practice Address - Country:US
Practice Address - Phone:740-297-6019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-23
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1601065104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker