Healthcare Provider Details

I. General information

NPI: 1386578425
Provider Name (Legal Business Name): ASHLEY JESTER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23704 OCEAN GTWY
MARDELA SPRINGS MD
21837-2101
US

IV. Provider business mailing address

23704 OCEAN GTWY
MARDELA SPRINGS MD
21837-2101
US

V. Phone/Fax

Practice location:
  • Phone: 410-677-0202
  • Fax: 410-677-0303
Mailing address:
  • Phone: 410-677-0202
  • Fax: 410-677-0303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number34968
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: