Ashely Jack, MSW is a
Social Worker based in Farmington, New Mexico. Ashely Jack is licensed to practice in New Mexico (license number SWB20230059) and her current practice location is
653 W Arrington St, Farmington, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 654-3733.
NPI number for Ashely Jack is 1184232118 and her current mailing address is 653 W Arrington St, Farmington, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184232118.
Healthcare Provider's Profile
| Full Name | Ashely Jack |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 653 W Arrington St, Farmington, New Mexico |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184232118
- Provider Enumeration Date: 07/15/2020
- Last Update Date: 07/23/2025
Medical Identifiers
Medical identifiers for Ashely Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1184232118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | CTB20240644 (New Mexico) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CTB20240644 (* (Not Available)) | Secondary |
| 104100000X | Social Worker | SWB20230059 (New Mexico) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashely Jack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ashely Jack, MSW 653 W Arrington St, Farmington, NM 87401-8513 Ph: (505) 654-3733 | Ashely Jack, MSW 653 W Arrington St, Farmington, NM 87401-8513 Ph: (505) 654-3733 |
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