Healthcare Provider Details

I. General information

NPI: 1265237523
Provider Name (Legal Business Name): ASHLEE J FERRELL SWT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10861 YANKEE ST
CENTERVILLE OH
45458-3574
US

IV. Provider business mailing address

102 SHENANDOAH TRL
WEST CARROLLTON OH
45449-3166
US

V. Phone/Fax

Practice location:
  • Phone: 937-619-0800
  • Fax:
Mailing address:
  • Phone: 937-838-0844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2504225-TRNE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: