Provider Demographics
NPI:1063135887
Name:COLE, ASHLEY ALEXANDER JR (LMSW)
Entity type:Individual
Prefix:MR
First Name:ASHLEY
Middle Name:ALEXANDER
Last Name:COLE
Suffix:JR
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 FRANKLIN TPKE APT 47
Mailing Address - Street 2:
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430-2220
Mailing Address - Country:US
Mailing Address - Phone:718-844-1060
Mailing Address - Fax:
Practice Address - Street 1:405 FRANKLIN TPKE APT 47
Practice Address - Street 2:
Practice Address - City:MAHWAH
Practice Address - State:NJ
Practice Address - Zip Code:07430-2220
Practice Address - Country:US
Practice Address - Phone:718-844-1060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker