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NPI Code Detail

MEDICARE: DANIELLE ASHWORTH LCSW

MEDICARE: DANIELLE ASHWORTH 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
11041C0700XClinical Social Worker097469NY

General Provider Information

NPI Number : 1437779717
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE ASHWORTH LCSW
Provider Business Mailing Address
First Line : 1976 CURRY RD APT 133
Second Line :
City : SCHENECTADY
State : NY
Zip : 12303-4054
Country : US
Telephone Number : 845-891-6308
Fax Number :
Provider Business Practice Location Address
First Line : 391 WESTERN AVE
Second Line :
City : ALBANY
State : NY
Zip : 12203-1491
Country : US
Telephone Number : 518-242-4731
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2020
Last Update Date : 04/11/2024

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