Provider Demographics
NPI:1316559362
Name:DRUDIK, ASHLEIGH KRISTEN (LICSW)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:KRISTEN
Last Name:DRUDIK
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:KRISTEN
Other - Last Name:VARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2217 W 12TH ST STE 4
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-3660
Mailing Address - Country:US
Mailing Address - Phone:402-318-9797
Mailing Address - Fax:
Practice Address - Street 1:2217 W 12TH ST STE 4
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-3660
Practice Address - Country:US
Practice Address - Phone:402-318-9797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3276101YM0800X
NE21591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health