Provider Demographics
NPI:1407671472
Name:ASHTON, DIANA CLAIRE (LCSW)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:CLAIRE
Last Name:ASHTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 SEA RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4556
Mailing Address - Country:US
Mailing Address - Phone:858-414-6961
Mailing Address - Fax:
Practice Address - Street 1:676 SEA RIDGE CT
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4556
Practice Address - Country:US
Practice Address - Phone:858-414-6961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS132321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical