Provider Demographics
NPI:1962089243
Name:BRASINGTON, ASHLEY (MSW, LICSW-S, PIP)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:BRASINGTON
Suffix:
Gender:F
Credentials:MSW, LICSW-S, PIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 DONNELL BLVD STE N
Mailing Address - Street 2:
Mailing Address - City:DALEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36322-2111
Mailing Address - Country:US
Mailing Address - Phone:833-927-7167
Mailing Address - Fax:855-927-6263
Practice Address - Street 1:807 DONNELL BLVD STE N
Practice Address - Street 2:
Practice Address - City:DALEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36322-2111
Practice Address - Country:US
Practice Address - Phone:833-927-7167
Practice Address - Fax:855-927-6263
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-24
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4666C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical