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NPI Code Detail

MEDICARE: ASHLEY FOWLER GINOBA LCSW, LICSW, LCSW-C

MEDICARE:   ASHLEY FOWLER GINOBA  LCSW, LICSW, LCSW-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorP004597NC
21041C0700XClinical Social Worker0904011567VA

General Provider Information

NPI Number : 1437487253
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY FOWLER GINOBA LCSW, LICSW, LCSW-C
Provider Business Mailing Address
First Line : 15343 INLET PL
Second Line :
City : DUMFRIES
State : VA
Zip : 22025-5204
Country : US
Telephone Number : 336-214-0811
Fax Number :
Provider Business Practice Location Address
First Line : 901 N GLEBE RD
Second Line :
City : ARLINGTON
State : VA
Zip : 22203-1853
Country : US
Telephone Number : 323-205-7088
Fax Number : 833-419-0181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2009
Last Update Date : 04/04/2025

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Directions to “ ASHLEY FOWLER GINOBA LCSW, LICSW, LCSW-C” Practice Location

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