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1497631758 NPI number — ASHLEY JO FREEMAN LLMSW, EMT-B

NPI Number: 1497631758
Health Care Provider/Practitioner: ASHLEY JO FREEMAN LLMSW, EMT-B

Information about “1497631758” NPI (ASHLEY JO FREEMAN LLMSW, EMT-B) exists in 1497631758 in HTML format HTML  |  1497631758 in plain Text format TXT  |  1497631758 in PDF (Portable Document Format) PDF  |  1497631758 in an XML format XML  formats.

NPI Number : 1497631758 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497631758",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FREEMAN",
    "FirstName": "ASHLEY",
    "MiddleName": "JO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LLMSW, EMT-B",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RIESCHICK",
    "OtherFirstName": "ASHLEY",
    "OtherMiddleName": "JO",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "9485 LIGHTHOUSE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "IRA",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48023-2828",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "586-872-7008",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3901 CHRYSLER DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DETROIT",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48201-2167",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-993-3964",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/13/2025",
    "LastUpdateDate": "08/13/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "146N00000X",
          "TaxonomyName": "Basic Emergency Medical Technician",
          "LicenseNumber": "2000348",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "6851120380",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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