De Verteuil, Ashley Josara
De Verteuil, Ashley Josara is an individual health care provider with primary practice located at 3300 Northern Blvd Fl 5 , Long Island City NY 11101-2215. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. De Verteuil, Ashley Josara can be contacted via phone (646) 265-6237.Contact Information
Primary practice address
3300 Northern Blvd Fl 5
Long Island City NY 11101-2215
Phone: (646) 265-6237
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 087991 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 091108 | New York |
Profile Details
| NPI number | 1306087440 |
|---|---|
| LBN Legal business name | De Verteuil, Ashley Josara |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2009 |
| Last updated | Jul 23rd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306087440 | NPPES |
| New York | MEDICAID | AP0814 |
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