Healthcare Provider Details

I. General information

NPI: 1487252409
Provider Name (Legal Business Name): ASHLEY ANN VALLONE MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY VALLONE MSW

II. Dates (important events)

Enumeration Date: 10/12/2020
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 E 10 MILE RD
CENTER LINE MI
48015-1168
US

IV. Provider business mailing address

28645 32 MILE RD
RICHMOND MI
48062-5101
US

V. Phone/Fax

Practice location:
  • Phone: 586-501-3070
  • Fax:
Mailing address:
  • Phone: 248-606-7916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851117972
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: