MEDICARE: ASHLEY RUSH 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
1	1041C0700X	Clinical Social Worker	LSW10412	TN
2	104100000X	Social Worker

General Provider Information

NPI Number	:	1922732320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY RUSH LCSW

Provider Business Mailing Address
First Line	:	1923 SULPHUR SPRINGS RD
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37813-5654
Country	:	US
Telephone Number	:	423-317-9344
Fax Number	:	423-714-2355

Provider Business Practice Location Address
First Line	:	501 ADESA BLVD STE A150
Second Line	:
City	:	LENOIR CITY
State	:	TN
Zip	:	37771-6719
Country	:	US
Telephone Number	:	865-986-8082
Fax Number	:	865-986-5890

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

Provider Enumeration Date	:	07/12/2022
Last Update Date	:	05/19/2026

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