Provider Demographics
NPI:1184781783
Name:ASHE, REBECCA (LICSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:ASHE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:351 PLEASANT ST
Mailing Address - Street 2:PMB 255
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3900
Mailing Address - Country:US
Mailing Address - Phone:413-731-7262
Mailing Address - Fax:413-731-8788
Practice Address - Street 1:380 UNION ST
Practice Address - Street 2:SUITE 17
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-4123
Practice Address - Country:US
Practice Address - Phone:413-731-7262
Practice Address - Fax:413-731-8788
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA10299921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA716361000OtherMAGELLAN
MAP08334OtherBLUE CROSS BLUE SHIELD
MA411987OtherTUFTS