Provider Demographics
NPI:1598578072
Name:KOHLER, ASHLEY ROCHELLE (LCSW, CAADC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ROCHELLE
Last Name:KOHLER
Suffix:
Gender:F
Credentials:LCSW, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1428 ROUTE 249
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY CENTER
Mailing Address - State:PA
Mailing Address - Zip Code:16935-9761
Mailing Address - Country:US
Mailing Address - Phone:267-752-0219
Mailing Address - Fax:
Practice Address - Street 1:14 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:PA
Practice Address - Zip Code:16933-1527
Practice Address - Country:US
Practice Address - Phone:267-752-0219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0254371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty