Healthcare Provider Details

I. General information

NPI: 1982189346
Provider Name (Legal Business Name): ASHLEY G. NELIK MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2018
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6524 HEDDING ST
LOS ANGELES CA
90045-1215
US

IV. Provider business mailing address

6201 W 87TH ST # 611
LOS ANGELES CA
90045-3901
US

V. Phone/Fax

Practice location:
  • Phone: 213-385-5100
  • Fax:
Mailing address:
  • Phone: 424-235-4575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number85171
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number106571
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: