Healthcare Provider Details

I. General information

NPI: 1578085478
Provider Name (Legal Business Name): ASHLEIGH QUATTRONE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2017
Last Update Date: 08/21/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 N 4TH ST
BROOKLYN NY
11249-3296
US

IV. Provider business mailing address

21655 REDWOOD LN APT A
WATERTOWN NY
13601-6409
US

V. Phone/Fax

Practice location:
  • Phone: 646-450-7748
  • Fax:
Mailing address:
  • Phone: 518-944-7973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number105180
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: