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NPI Code Detail

MEDICARE: ASHLEY ERIN FIZER MSW, LGSW

MEDICARE: ASHLEY ERIN FIZER MSW, LGSW
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 WorkerCP00946091WV

General Provider Information

NPI Number : 1033983994
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY ERIN FIZER MSW, LGSW
Provider Business Mailing Address
First Line : 1401 CHESTNUT ST
Second Line :
City : KENOVA
State : WV
Zip : 25530-1235
Country : US
Telephone Number : 304-982-0237
Fax Number :
Provider Business Practice Location Address
First Line : 120 PROFESSIONAL PL STE 101
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-4599
Country : US
Telephone Number : 304-513-3495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2023
Last Update Date : 04/15/2026

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