Individual
ASHLEY DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD., PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016043517
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016043517
LICENSE
MO
Enumeration date
01/25/2017
Last updated
07/21/2022
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