| Ashley Drew, Lcsw Llc | |
|
820 Jordan St Ste 485 Shreveport LA 71101-4533 | |
| (318) 424-5001 | |
| (318) 424-5007 |
| Full Name | Ashley Drew, Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 820 Jordan St Ste 485, Shreveport, Louisiana |
| Authorized Official Name and Position | Ashley Drew (OWNER) |
| Authorized Official Contact | 3184233342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Drew, Lcsw Llc 820 Jordan St Ste 485 Shreveport LA 71101-4533 Ph: (318) 424-5001 | Ashley Drew, Lcsw Llc 820 Jordan St Ste 485 Shreveport LA 71101-4533 Ph: (318) 424-5001 |
| NPI Number | 1124592829 |
|---|---|
| Provider Enumeration Date | 01/15/2019 |
| Last Update Date | 01/15/2019 |
| Medicare PECOS PAC ID | 5395084321 |
|---|---|
| Medicare Enrollment ID | O20190308000810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124592829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ashley Drew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700227428 PECOS PAC ID: 4385983329 Enrollment ID: I20190308001081 |
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