Provider Demographics
NPI:1225630700
Name:AMARAL, ASHLEY B (LICSW)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:B
Last Name:AMARAL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:567C DRIFT RD
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:MA
Mailing Address - Zip Code:02790-1205
Mailing Address - Country:US
Mailing Address - Phone:774-473-4193
Mailing Address - Fax:
Practice Address - Street 1:145 GLOBE ST STE 1
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02724-1323
Practice Address - Country:US
Practice Address - Phone:774-644-2254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-10
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker