| Ashley Kawashima, | |
|
103 Fram Street, Petersburg, AK 99833 | |
| (907) 772-5772 | |
| Not Available |
| Full Name | Ashley Kawashima |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 103 Fram Street, Petersburg, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861055337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 177817 (Alaska) | Primary |
| Entity Name | The Petersburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437122843 PECOS PAC ID: 5395730626 Enrollment ID: O20040416000917 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Kawashima, Po Box 1428, Petersburg, AK 99833-1428 Ph: (907) 518-1195 | Ashley Kawashima, 103 Fram Street, Petersburg, AK 99833 Ph: (907) 772-5772 |
Stephanie Anita Banda, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 202 Gjoa Street, Petersburg, AK 99833 Phone: 907-772-4963 | |
Susan Ohmer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 North Nordic Drive, Petersburg, AK 99833 Phone: 907-772-3332 | |
Ms. Amanda Lemiere Taylor, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 N Nordic Dr, Petersburg, AK 99833 Phone: 907-772-3332 | |
Mark Walker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 North Nordic Drive, Petersburg, AK 99833 Phone: 907-772-3332 | |
Patrick Sessa, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 103 Fram Street, Petersburg, AK 99833 Phone: 907-772-4299 | |
Kimberly Kilkenny, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 201 North Nordic Drive, Petersburg, AK 99833 Phone: 907-772-3332 Fax: 888-858-8850 |