Provider Demographics
NPI:1306545959
Name:DALTON, ASHLEY (LCSW, LICSW, ESQ)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:DALTON
Suffix:
Gender:F
Credentials:LCSW, LICSW, ESQ
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 PORTER ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-2068
Mailing Address - Country:US
Mailing Address - Phone:804-513-8605
Mailing Address - Fax:
Practice Address - Street 1:1508 PORTER ST UNIT B
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-2068
Practice Address - Country:US
Practice Address - Phone:804-513-8605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-02
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1266791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical