| Ashley A Borgatta Lcsw | |
|
1103 Rocky Rd Ste 202 West Lawn PA 19609-1166 | |
| (484) 663-4620 | |
| Not Available |
| Full Name | Ashley A Borgatta Lcsw |
|---|---|
| Speciality | Clinic/Center |
| Location | 1103 Rocky Rd Ste 202, West Lawn, Pennsylvania |
| Authorized Official Name and Position | Ashley Anne Moser (OWNER) |
| Authorized Official Contact | 4843320565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley A Borgatta Lcsw 1409 Garden Ln Wyomissing PA 19610-2503 Ph: (484) 332-0565 | Ashley A Borgatta Lcsw 1103 Rocky Rd Ste 202 West Lawn PA 19609-1166 Ph: (484) 663-4620 |
| NPI Number | 1356996664 |
|---|---|
| Provider Enumeration Date | 08/04/2019 |
| Last Update Date | 12/05/2022 |
| Certification Date | 12/05/2022 |
| Medicare PECOS PAC ID | 0547599698 |
|---|---|
| Medicare Enrollment ID | O20190916000411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356996664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ashley A Moser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144676115 PECOS PAC ID: 4688968886 Enrollment ID: I20160811000239 |
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