Healthcare Provider Details

I. General information

NPI: 1871809400
Provider Name (Legal Business Name): JOHN H. ASHBY LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2010
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2224 N CRAYCROFT RD STE 100
TUCSON AZ
85712-2811
US

IV. Provider business mailing address

2003 PRAIRIE HILL DR.
FT. COLLINS CO
80528
US

V. Phone/Fax

Practice location:
  • Phone: 520-896-1400
  • Fax: 520-614-6050
Mailing address:
  • Phone: 970-222-2693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number20658
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number992658
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: