Individual
ASHLEY M RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
1 N BARKER AVE, EVANSVILLE, IN 47712-5601
(812) 423-4418
(812) 422-7558
Mailing address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
(812) 423-7791
(812) 422-7558
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33006651A
IN
1041C0700X
Clinical Social Worker
Primary
34007349A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100240880
—
IN
01
—
13623618
CAQH
IN
01
—
839090016
MEDICARE
IN
Enumeration date
03/19/2014
Last updated
03/24/2016
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