Ashlee Marie Doonan

Individual provider Active NPI School Social Worker · Viola, IL

NPI 1285273441 · NPPES record last updated Jan 4, 2020

Key facts

NPI
1285273441
Entity type
Individual (NPI type 1)
Primary specialty
School Social Worker 1041S0200X
License
149021360 (IL)
Practice address
1401 8TH Ave
Viola, IL 61486-9443
Phone
(309) 236-4653
NPI assigned
Jan 4, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
149021360ILMDSchool Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 149021360 IL Yes

Addresses

Primary practice location

1401 8TH Ave
Viola, IL 61486-9443

Mailing address

1401 8TH Ave
Viola, IL 61486-9443
Phone (309) 236-4653

Other providers in Viola, IL

All providers in Viola, IL · School Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.