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NPI Code Detail

MEDICARE: ASHLEY DILLS LCSW

MEDICARE:   ASHLEY  DILLS  LCSW
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 Worker091528NY

General Provider Information

NPI Number : 1245925593
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY DILLS LCSW
Provider Business Mailing Address
First Line : 960 WILLOUGHBY AVE APT 4I
Second Line :
City : BROOKLYN
State : NY
Zip : 11221-3490
Country : US
Telephone Number : 724-991-7200
Fax Number :
Provider Business Practice Location Address
First Line : 960 WILLOUGHBY AVE APT 4I
Second Line :
City : BROOKLYN
State : NY
Zip : 11221-3490
Country : US
Telephone Number : 724-991-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2023
Last Update Date : 04/11/2023

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Directions to “ ASHLEY DILLS LCSW” Practice Location

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