Healthcare Provider Details

I. General information

NPI: 1659202182
Provider Name (Legal Business Name): ASHLEY PERKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5515 PACIFIC ST
ROCKLIN CA
95677-4805
US

IV. Provider business mailing address

5515 PACIFIC ST PO BOX 434
ROCKLIN CA
95677-9998
US

V. Phone/Fax

Practice location:
  • Phone: 619-886-8532
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number129320
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: