Provider Demographics
NPI:1932761384
Name:ELLIOTT, ASHLEY NICOLE (ACSW, LMSW, LSWAIC)
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:NICOLE
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:ACSW, LMSW, LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1037 NE 65TH STREET
Mailing Address - Street 2:PMB 222
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1045 NE CAMPUS PARKWAY
Practice Address - Street 2:HFS CENTRAL OFFICE, TERRY HALL, BOX 355605
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195
Practice Address - Country:US
Practice Address - Phone:206-543-7725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-07
Last Update Date:2024-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASA61497651104100000X
CA115158104100000X
WASC61030145104100000X
MD25657104100000X
TX68638104100000X
MO2019012568104100000X
MA227689104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker