Provider Demographics
NPI:1053778134
Name:PERES, ASHLEY LYNNE (MSW)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LYNNE
Last Name:PERES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:LYNNE
Other - Last Name:CHAPPELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4045 DELRIDGE WAY SW
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-1278
Mailing Address - Country:US
Mailing Address - Phone:206-923-4803
Mailing Address - Fax:
Practice Address - Street 1:4045 DELRIDGE WAY SW
Practice Address - Street 2:SUITE 300
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106-1278
Practice Address - Country:US
Practice Address - Phone:206-923-4803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker