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NPI Code Detail

MEDICARE: ASHLEY J STICHT LCSW

MEDICARE:   ASHLEY J STICHT  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
1171M00000XCase Manager/Care Coordinator
2104100000XSocial Worker22015OK

General Provider Information

NPI Number : 1912611583
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY J STICHT LCSW
Provider Business Mailing Address
First Line : 9516 S SHIELDS BLVD APT 158
Second Line :
City : MOORE
State : OK
Zip : 73160-3123
Country : US
Telephone Number : 860-227-9490
Fax Number :
Provider Business Practice Location Address
First Line : 6100 S WALKER AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-7026
Country : US
Telephone Number : 405-634-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2023
Last Update Date : 12/02/2025

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Directions to “ ASHLEY J STICHT LCSW” Practice Location

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