Provider Demographics
NPI:1154000420
Name:SARGENT, ASHLEY MAE (LCSW-C)
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:MAE
Last Name:SARGENT
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 RUM POINT RD APT 145
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-1489
Mailing Address - Country:US
Mailing Address - Phone:607-742-9739
Mailing Address - Fax:
Practice Address - Street 1:200 RUM POINT RD APT 145
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-1489
Practice Address - Country:US
Practice Address - Phone:607-742-9739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD224731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical