Healthcare Provider Details

I. General information

NPI: 1891014650
Provider Name (Legal Business Name): ASHLEE RAHMLOW MSW/LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2010
Last Update Date: 06/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 S KOELLER ST
OSHKOSH WI
54902-6186
US

IV. Provider business mailing address

1855 S KOELLER ST
OSHKOSH WI
54902-6186
US

V. Phone/Fax

Practice location:
  • Phone: 920-223-7100
  • Fax:
Mailing address:
  • Phone: 920-223-7100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number127449-121
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number7646
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: