| Ashley Wilson, | |
|
488 W Hospital Rd, Paoli, IN 47454-8807 | |
| (812) 723-4301 | |
| (812) 723-4306 |
| Full Name | Ashley Wilson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 488 W Hospital Rd, Paoli, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841763430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34011397A (Indiana) | Primary |
| Entity Name | Lifespring Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851489942 PECOS PAC ID: 5294624508 Enrollment ID: O20040805000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Wilson, 85 S Union St, Campbellsburg, IN 47108-9063 Ph: (812) 278-4239 | Ashley Wilson, 488 W Hospital Rd, Paoli, IN 47454-8807 Ph: (812) 723-4301 |
Mrs. Heather L. Terwiske, MSW, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 488 W. Hospital Rd., Paoli, IN 47454 Phone: 812-723-4301 Fax: 812-723-4306 | |
Brandy Terrell, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 488 W Hospital Rd, Paoli, IN 47454 Phone: 812-482-3020 Fax: 812-482-6409 | |
Salome K Leinbach, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 488 W Hospital Rd, Paoli, IN 47454 Phone: 812-482-3020 Fax: 812-482-6409 | |
Michelle Emmons, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 488 W Hospital Rd, Paoli, IN 47454 Phone: 812-482-3020 Fax: 812-482-6409 | |
Veronika Sukupova, LSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 488 W Hospital Rd Ste 2, Paoli, IN 47454 Phone: 812-723-4301 |