MEDICARE: ASHLEY LESKOVETC

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	CW022169	PA

General Provider Information

NPI Number	:	1750045217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY LESKOVETC

Provider Business Mailing Address
First Line	:	1101 HARTMAN ST
Second Line	:
City	:	MCKEESPORT
State	:	PA
Zip	:	15132-1500
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	304 WOOD ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15222-1929
Country	:	US
Telephone Number	:	412-902-4068
Fax Number	:

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

Provider Enumeration Date	:	10/29/2021
Last Update Date	:	10/29/2021

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Directions to “ ASHLEY LESKOVETC ” Practice Location

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