=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356768196
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ELIZABETH ASHLEY CLONINGER MSW, LCSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/18/2014
-----------------------------------------------------
Last Update Date | 12/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 63 N. MAIN STREET
-----------------------------------------------------
City | WEAVERVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28787
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-237-0138
-----------------------------------------------------
Fax | 828-844-5760
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 149 WEAVER BLVD # 244
-----------------------------------------------------
City | WEAVERVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28787-8345
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-237-0138
-----------------------------------------------------
Fax | 828-844-5760
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | C014593
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------