Ashley Wilson, | |
488 W Hospital Rd, Paoli, IN 47454-8807 | |
(812) 723-4301 | |
(812) 723-4306 |
Full Name | Ashley Wilson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 488 W Hospital Rd, Paoli, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841763430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34011397A (Indiana) | Primary |
Entity Name | Lifespring Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851489942 PECOS PAC ID: 5294624508 Enrollment ID: O20040805000332 |
Mailing Address | Practice Location Address |
---|---|
Ashley Wilson, 85 S Union St, Campbellsburg, IN 47108-9063 Ph: (812) 278-4239 | Ashley Wilson, 488 W Hospital Rd, Paoli, IN 47454-8807 Ph: (812) 723-4301 |
Mrs. Heather L. Terwiske, MSW, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 488 W. Hospital Rd., Paoli, IN 47454 Phone: 812-723-4301 Fax: 812-723-4306 | |
Brandy Terrell, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 488 W Hospital Rd, Paoli, IN 47454 Phone: 812-482-3020 Fax: 812-482-6409 | |
Salome K Leinbach, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 488 W Hospital Rd, Paoli, IN 47454 Phone: 812-482-3020 Fax: 812-482-6409 | |
Michelle Emmons, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 488 W Hospital Rd, Paoli, IN 47454 Phone: 812-482-3020 Fax: 812-482-6409 | |
Veronika Sukupova, LSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 488 W Hospital Rd Ste 2, Paoli, IN 47454 Phone: 812-723-4301 |