Individual
MS. ASHLEY JOSARA DE VERTEUIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3300 NORTHERN BLVD FL 5, LONG ISLAND CITY, NY 11101-2215
(646) 265-6237
Mailing address
3300 NORTHERN BLVD FL 5, LONG ISLAND CITY, NY 11101-2215
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
087991
NY
1041C0700X
Clinical Social Worker
Primary
091108
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AP0814
—
NY
Enumeration date
03/19/2009
Last updated
07/23/2021
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