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NPI Code Detail

MEDICARE: ASHLEY PIOTROWSKI PRAKASH MS, LCSW

MEDICARE:   ASHLEY PIOTROWSKI PRAKASH  MS, 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 Worker149.021391IL

General Provider Information

NPI Number : 1922615517
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY PIOTROWSKI PRAKASH MS, LCSW
Provider Business Mailing Address
First Line : 6023 N RIDGE AVE # 3E
Second Line :
City : CHICAGO
State : IL
Zip : 60660-0189
Country : US
Telephone Number : 989-225-2346
Fax Number :
Provider Business Practice Location Address
First Line : 6023 N RIDGE AVE # 3E
Second Line :
City : CHICAGO
State : IL
Zip : 60660-0189
Country : US
Telephone Number : 989-225-2346
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2020
Last Update Date : 09/28/2020

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Directions to “ ASHLEY PIOTROWSKI PRAKASH MS, LCSW” Practice Location

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