Provider Demographics
NPI:1942917976
Name:BARRY, ASHLEY S (LICSW)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:S
Last Name:BARRY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 WILLIAMS AVE S UNIT 145
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-9713
Mailing Address - Country:US
Mailing Address - Phone:206-643-2572
Mailing Address - Fax:
Practice Address - Street 1:314 WILLIAMS AVE S UNIT 145
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-9713
Practice Address - Country:US
Practice Address - Phone:208-643-2572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-31
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW615686511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical