NPI 1639638216 · live from the CMS NPI Registry
Kelsey Ashby, LMSW
Social Worker, Clinical in Rupert, ID. National Provider Identifier 1639638216, active.
NPI record
| NPI | 1639638216 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 707 F St, Rupert, ID 83350 |
| Practice phone | 208-530-0199 |
| Enumerated | March 13, 2019 |
| Last updated | March 13, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
| Counselor, Mental Health | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.