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NPI Code Detail

MEDICARE: REBECCA ASHE LICSW

MEDICARE:   REBECCA  ASHE  LICSW
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 Worker1029992MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1716361000OTHERMAMAGELLAN
2P08334OTHERMABLUE CROSS BLUE SHIELD
3411987OTHERMATUFTS

General Provider Information

NPI Number : 1184781783
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ASHE LICSW
Provider Business Mailing Address
First Line : 351 PLEASANT ST
Second Line : PMB 255
City : NORTHAMPTON
State : MA
Zip : 01060-3900
Country : US
Telephone Number : 413-731-7262
Fax Number : 413-731-8788
Provider Business Practice Location Address
First Line : 380 UNION ST
Second Line : SUITE 17
City : WEST SPRINGFIELD
State : MA
Zip : 01089-4123
Country : US
Telephone Number : 413-731-7262
Fax Number : 413-731-8788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2007
Last Update Date : 07/08/2007

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Directions to “ REBECCA ASHE LICSW” Practice Location

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