MEDICARE: ELIZABETH KASHPUREFF ASW

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	1041C0700X	Clinical Social Worker	ASW135207	CA

General Provider Information

NPI Number	:	1538018338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH KASHPUREFF ASW

Provider Business Mailing Address
First Line	:	1396 W HERNDON AVE STE 101
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-7126
Country	:	US
Telephone Number	:	559-521-1246
Fax Number	:

Provider Business Practice Location Address
First Line	:	1396 W HERNDON AVE STE 101
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-7126
Country	:	US
Telephone Number	:	559-521-1246
Fax Number	:

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

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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