Healthcare Provider Details

I. General information

NPI: 1669881231
Provider Name (Legal Business Name): ASHLEY CRAMER LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY WILLIAMSON LSW

II. Dates (important events)

Enumeration Date: 08/08/2014
Last Update Date: 06/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

841 STEUBENVILLE AVE
CAMBRIDGE OH
43725
US

IV. Provider business mailing address

841 STEUBENVILLE AVE
CAMBRIDGE OH
43725-2301
US

V. Phone/Fax

Practice location:
  • Phone: 855-692-7247
  • Fax: 855-692-7247
Mailing address:
  • Phone: 855-692-7247
  • Fax: 855-692-7247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW131208
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: