Individual ProviderAshlee MickelsonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address610 S 5th St, Laramie, WY 82070-3720(307) 272-3515(307) 745-8997PECOS EnrollmentBased on the most recent information from CMS, provider Ashlee Mickelson is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:54 AM.Profile DetailsProvider ID1881978435Provider TypeIndividualFull NameMickelson, AshleeCredentialLSCWGenderFemaleSole ProprietorYesEnumeration Date9/30/2011Last Updated11/17/2022Contact InformationPractice LocationPractice Address610 S 5th St, Laramie, WY 82070-3720Phone(307) 272-3515Fax(307) 272-3515Mailing LocationMailing AddressPO Box 1704, Laramie, WY 82073-1704Phone(307) 745-8997FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense458WyomingCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicensePCSW-458WyomingProvider IdentifiersIDDescriptionIssuerID458DescriptionOtherIssuerSTATEWyoming