Healthcare Provider Details

I. General information

NPI: 1871079715
Provider Name (Legal Business Name): ALEXANDER CHARLES ASHTON LCSW-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2018
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EXECUTIVE SUITE III, 11350 MCCORMICK ROAD SUITE 600
HUNT VALLEY MD
21031
US

IV. Provider business mailing address

EXECUTIVE SUITE III, 11350 MCCORMICK ROAD SUITE 600
HUNT VALLEY MD
21031
US

V. Phone/Fax

Practice location:
  • Phone: 443-708-5856
  • Fax:
Mailing address:
  • Phone: 443-708-5856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number23944
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: