MEDICARE: ASHLEY QUINTER LCSW

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	0904014187	VA

General Provider Information

NPI Number	:	1770281388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY QUINTER LCSW

Provider Business Mailing Address
First Line	:	258 N WITCHDUCK RD STE 1A
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-6556
Country	:	US
Telephone Number	:	757-385-0888
Fax Number	:

Provider Business Practice Location Address
First Line	:	258 N WITCHDUCK RD STE 1A
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-6556
Country	:	US
Telephone Number	:	757-385-0888
Fax Number	:

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

Provider Enumeration Date	:	02/22/2023
Last Update Date	:	12/03/2025

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