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General NPI Number Information
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NPI Number | 1093094591
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Entity Type | Individual
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Provider Name | ASHLEIGH PRATT LCSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 08/15/2011
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 808 FIR ST
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City | T OR C
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State | NM
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Zip | 87901-1724
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Country | US
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Telephone | 505-433-1427
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Fax |
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Provider Business Mailing Address
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Address Line | 808 FIR ST
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City | TRUTH OR CONSEQUENCES
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State | NM
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Zip | 87901-1724
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Country | US
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Telephone | 508-560-4911
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LICSW127004
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 402514
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SWB-2023-0764
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License Number State | NM
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