Healthcare Provider Details

I. General information

NPI: 1952172777
Provider Name (Legal Business Name): ASHLEY ELIZABETH BRAMON ASW, CADC-I
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY ELIZABETH ERDEN CADC-I

II. Dates (important events)

Enumeration Date: 01/10/2024
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1273 LITTLE MORRO CREEK RD
MORRO BAY CA
93442-1804
US

IV. Provider business mailing address

1273 LITTLE MORRO CREEK RD
MORRO BAY CA
93442-1804
US

V. Phone/Fax

Practice location:
  • Phone: 805-215-4650
  • Fax:
Mailing address:
  • Phone: 805-215-4650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCI39910823
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number120180
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: