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NPI Code Detail

MEDICARE: ASHLEY COLEMAN LCSW

MEDICARE: ASHLEY COLEMAN 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 Worker7370-CNV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902117088
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY COLEMAN LCSW
Provider Business Mailing Address
First Line : 6337 STERLING RANCH WAY
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89081-6713
Country : US
Telephone Number : 702-287-8895
Fax Number :
Provider Business Practice Location Address
First Line : 3890 W ANN RD
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89031-4416
Country : US
Telephone Number : 27-287-8895
Fax Number : 702-952-5442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2010
Last Update Date : 11/10/2022

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