Ashlie Pethtel, CDCA QMHS LSW MSW is a
Social Worker - Clinical based in Wooster, Ohio. Ashlie Pethtel is licensed to practice in Ohio (license number S.2106707) and her current practice location is
127 East Liberty Street Wooster, Ohio, Wooster, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 636-6324.
NPI number for Ashlie Pethtel is 1801368261 and her current mailing address is 127 E. Liberty St. Wooster, Ohio 44691, Wooster, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801368261.
Healthcare Provider's Profile
| Full Name | Ashlie Pethtel |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 127 East Liberty Street Wooster, Ohio, Wooster, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801368261
- Provider Enumeration Date: 12/26/2018
- Last Update Date: 08/12/2022
Medical Identifiers
Medical identifiers for Ashlie Pethtel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801368261 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.170944 (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | S.2106707 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashlie Pethtel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ashlie Pethtel, CDCA QMHS LSW MSW
127 E. Liberty St. Wooster, Ohio 44691,
Wooster, OH 44691
Ph: (330) 636-6324 | Ashlie Pethtel, CDCA QMHS LSW MSW
127 East Liberty Street Wooster, Ohio,
Wooster, OH 44691
Ph: (330) 636-6324 |
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