MEDICARE: MS. ASHLEY BROOKE ANDERSON LCSW

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	44SC06540800	NJ
2	1041C0700X	Clinical Social Worker	44SC06540800	NJ
3	221700000X	Art Therapist	44SC06540800	NJ
4	101YP1600X	Pastoral Counselor	44SC06540800	NJ
5	324500000X	Substance Abuse Rehabilitation Facility	44SC06540800	NJ
6	101YM0800X	Mental Health Counselor	44SC06540800	NJ

General Provider Information

NPI Number	:	1598495764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ASHLEY BROOKE ANDERSON LCSW

Provider Business Mailing Address
First Line	:	21 NOTTINGHAM DR
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-1816
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16 WHITESVILLE RD STE A
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-4105
Country	:	US
Telephone Number	:	732-504-3527
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2022
Last Update Date	:	10/23/2025

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