Healthcare Provider Details

I. General information

NPI: 1922928373
Provider Name (Legal Business Name): WILLIAM ANTHONY ASHWORTH JR. LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39521 N LAUREL VALLEY CT
ANTHEM AZ
85086-3634
US

IV. Provider business mailing address

39521 N LAUREL VALLEY CT
ANTHEM AZ
85086-3634
US

V. Phone/Fax

Practice location:
  • Phone: 931-539-0538
  • Fax:
Mailing address:
  • Phone: 931-539-0538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMSW-22943
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLMSW-22943
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: