Healthcare Provider Details

I. General information

NPI: 1699334730
Provider Name (Legal Business Name): ASHLEY MARIE BARTLETT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2019
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 E GRAND RIVER AVE
BRIGHTON MI
48116-1510
US

IV. Provider business mailing address

3521 LAWNDALE RD
SAGINAW MI
48603-1625
US

V. Phone/Fax

Practice location:
  • Phone: 989-239-0870
  • Fax:
Mailing address:
  • Phone: 989-884-3627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801114781
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: