Provider Demographics
NPI:1336177062
Name:DUTROW, ASHLEY ARMSTRONG (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ARMSTRONG
Last Name:DUTROW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:ASHLEY
Other - Middle Name:ARMSTRONG
Other - Last Name:MCNEILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1217 EASTERN PKWY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40204-2440
Mailing Address - Country:US
Mailing Address - Phone:502-642-6141
Mailing Address - Fax:502-495-7816
Practice Address - Street 1:4400 BRECKENRIDGE LN
Practice Address - Street 2:115
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-4082
Practice Address - Country:US
Practice Address - Phone:502-495-7800
Practice Address - Fax:502-495-7816
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4054104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker