Provider Demographics
NPI:1255719720
Name:JENKINS, ASHLEY HENDRIX (LCSW)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:HENDRIX
Last Name:JENKINS
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 1:614 TURTLE CREEK LN
Mailing Address - Street 2:
Mailing Address - City:HARLEM
Mailing Address - State:GA
Mailing Address - Zip Code:30814-0045
Mailing Address - Country:US
Mailing Address - Phone:334-329-4315
Mailing Address - Fax:
Practice Address - Street 1:614 TURTLE CREEK LN
Practice Address - Street 2:
Practice Address - City:HARLEM
Practice Address - State:GA
Practice Address - Zip Code:30814-0045
Practice Address - Country:US
Practice Address - Phone:334-329-4315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-15
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0064341041C0700X
GAMSW0066051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAMSW006605OtherGEORGIA SECRETARY OF STATE
GACSW006434OtherGEORGIA SECRETARY OF STATE