Provider Demographics
NPI:1104342005
Name:MCCOWN, ASHLEY KAY (MSSW, LCSW)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KAY
Last Name:MCCOWN
Suffix:
Gender:F
Credentials:MSSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1190 OREAR RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40337-9751
Mailing Address - Country:US
Mailing Address - Phone:606-782-4492
Mailing Address - Fax:
Practice Address - Street 1:800 ROSE STREET COMBS BUILDING OFFICE 311
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-1277
Practice Address - Country:US
Practice Address - Phone:859-562-2233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-22
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2573451041C0700X
KY104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1790731081Medicaid