=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871809400
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOHN H. ASHBY LCSW
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/20/2010
-----------------------------------------------------
Last Update Date | 06/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2224 N CRAYCROFT RD STE 100
-----------------------------------------------------
City | TUCSON
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85712-2811
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 520-896-1400
-----------------------------------------------------
Fax | 520-614-6050
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2003 PRAIRIE HILL DR.
-----------------------------------------------------
City | FT. COLLINS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80528
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-222-2693
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
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 | 20658
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 992658
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------