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NPI Code Detail

MEDICARE: ASHLEY RENEE STRACK

MEDICARE: ASHLEY RENEE STRACK
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
1104100000XSocial Worker120531-01NY
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1316725153
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY RENEE STRACK
Provider Business Mailing Address
First Line : 1224 MAPLE TREE DR APT 305
Second Line :
City : LELAND
State : NC
Zip : 28451-9164
Country : US
Telephone Number : 518-637-7881
Fax Number :
Provider Business Practice Location Address
First Line : 2301 DELANEY AVE
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6012
Country : US
Telephone Number : 432-691-0202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2023
Last Update Date : 05/06/2026

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Directions to “ ASHLEY RENEE STRACK ” Practice Location

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