MEDICARE: MRS. ASHLEY DREES LMSW

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
1	104100000X	Social Worker	076759	IA
2	1041C0700X	Clinical Social Worker	6255	OK

General Provider Information

NPI Number	:	1346617354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLEY DREES LMSW

Provider Business Mailing Address
First Line	:	1519 S GILBERT ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-4367
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 PARKLAWN DR STE 303
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-4230
Country	:	US
Telephone Number	:	405-610-3644
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2015
Last Update Date	:	12/20/2017

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