Healthcare Provider Details

I. General information

NPI: 1295255263
Provider Name (Legal Business Name): TIFFANY CLAIRE ASHE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2017
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 PANORAMA PARK PL
CARY NC
27519-0857
US

IV. Provider business mailing address

3600 N DUKE STREET #1185 STE 1
DURHAM NC
27704-3232
US

V. Phone/Fax

Practice location:
  • Phone: 919-884-9464
  • Fax:
Mailing address:
  • Phone: 919-887-9464
  • Fax: 919-551-7468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC011065
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: