Healthcare Provider Details

I. General information

NPI: 1407548183
Provider Name (Legal Business Name): ASHLYN COLE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2227 OLD EMMORTON RD STE 115
BEL AIR MD
21015-6190
US

IV. Provider business mailing address

2329 KATELAND CT
ABINGDON MD
21009-3087
US

V. Phone/Fax

Practice location:
  • Phone: 410-589-0999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number29936
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: