MEDICARE: ASHLEY VAN HOOF

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LICSW1141259	MA

General Provider Information

NPI Number	:	1588506927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY VAN HOOF

Provider Business Mailing Address
First Line	:	23 ORKNEY RD APT 1
Second Line	:
City	:	BRIGHTON
State	:	MA
Zip	:	02135-7703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23 ORKNEY RD APT 1
Second Line	:
City	:	BRIGHTON
State	:	MA
Zip	:	02135-7703
Country	:	US
Telephone Number	:	860-965-2110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “ ASHLEY VAN HOOF ” Practice Location

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