Provider Demographics
NPI:1609143247
Name:TOWNSEND, ASHLEY FLORA (LCSW-R)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:FLORA
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 WINTER STREET EXT
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-7730
Mailing Address - Country:US
Mailing Address - Phone:518-330-9716
Mailing Address - Fax:518-240-4439
Practice Address - Street 1:474 N GREENBUSH RD STE 1A
Practice Address - Street 2:
Practice Address - City:RENSSELAER
Practice Address - State:NY
Practice Address - Zip Code:12144-9627
Practice Address - Country:US
Practice Address - Phone:518-666-7351
Practice Address - Fax:518-240-4439
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000853431041C0700X
NY0827981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00085343Medicaid
NY05197700Medicaid