Healthcare Provider Details

I. General information

NPI: 1376458984
Provider Name (Legal Business Name): ASHLEY AMARI EATON MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13441 WARWICK BLVD APT 2
NEWPORT NEWS VA
23602-5649
US

IV. Provider business mailing address

913 PLEASANT ST
RICHMOND VA
23223-6109
US

V. Phone/Fax

Practice location:
  • Phone: 804-213-2674
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: