MEDICARE: ASHLEY CARRY MSW, BA

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1730938531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY CARRY MSW, BA

Provider Business Mailing Address
First Line	:	8887 WILLOW COVE LN
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-1171
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8887 WILLOW COVE LN
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-1171
Country	:	US
Telephone Number	:	561-440-4296
Fax Number	:

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

Provider Enumeration Date	:	05/14/2024
Last Update Date	:	05/29/2024

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