Provider Demographics
NPI:1891441564
Name:FRAZIER, ASHLEY ELIZABETH (LCSW)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:ELIZABETH
Last Name:FRAZIER
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:ELIZABETH
Other - Last Name:FRAZIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ASHLEY BARRETT
Mailing Address - Street 1:3542 N WINDCREST DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47404-1762
Mailing Address - Country:US
Mailing Address - Phone:253-306-5891
Mailing Address - Fax:
Practice Address - Street 1:1030 E MORGAN ST
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46151-1743
Practice Address - Country:US
Practice Address - Phone:888-318-1230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33010025A1041C0700X
IN34011835A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical