MEDICARE: ASHLIE FRENTZ LMSW

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	104100000X	Social Worker	M-11917	MS

General Provider Information

NPI Number	:	1326995739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLIE FRENTZ LMSW

Provider Business Mailing Address
First Line	:	7441 WAX MYRTLE ST
Second Line	:
City	:	VANCLEAVE
State	:	MS
Zip	:	39565-6451
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7205 HUMPHREY RD
Second Line	:
City	:	VANCLEAVE
State	:	MS
Zip	:	39565-7806
Country	:	US
Telephone Number	:	228-283-5005
Fax Number	:

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

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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Directions to “ ASHLIE FRENTZ LMSW” Practice Location

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