Provider Demographics
NPI:1174548655
Name:ASHMEAD, ANN M (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:M
Last Name:ASHMEAD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 BLUE JAY CT
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-3201
Mailing Address - Country:US
Mailing Address - Phone:817-428-5894
Mailing Address - Fax:817-459-5386
Practice Address - Street 1:801 KENNEDALE SUBLETT RD
Practice Address - Street 2:
Practice Address - City:KENNEDALE
Practice Address - State:TX
Practice Address - Zip Code:76060-2829
Practice Address - Country:US
Practice Address - Phone:817-483-0020
Practice Address - Fax:817-572-6676
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical