Shelly Ranae Ashley, LCSW

Individual provider Active NPI Mental Health Counselor · Oneonta, NY

NPI 1043797673 · NPPES record last updated Oct 25, 2023

Key facts

NPI
1043797673
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
093207 (NY)
Practice address
3 Moffatt St
Oneonta, NY 13820-1217
Phone
(607) 601-0606
NPI assigned
Jul 26, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
093207NYMDMental Health Counselor
102975NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 102975 NY
Social Worker 104100000X
Mental Health Counselor 101YM0800X 093207 NY Yes

Addresses

Primary practice location

3 Moffatt St
Oneonta, NY 13820-1217

Mailing address

3 Moffatt St
Oneonta, NY 13820-1217
Phone (607) 434-8185

Other providers in Oneonta, NY

All providers in Oneonta, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.