Healthcare Provider Details

I. General information

NPI: 1962806661
Provider Name (Legal Business Name): ASHLEY WOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY SEMINGSEN

II. Dates (important events)

Enumeration Date: 10/09/2014
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

784 S CLEARWATER LOOP STE R
POST FALLS ID
83854-9599
US

IV. Provider business mailing address

897 N SEVENOAKS AVE
EAGLE ID
83616-6250
US

V. Phone/Fax

Practice location:
  • Phone: 208-279-8855
  • Fax:
Mailing address:
  • Phone: 253-653-3129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4571596
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW61442209
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: