Destiny Leeanne Pottebaum, MSW is a
Social Worker - Clinical based in New Haven, Missouri. Destiny Leeanne Pottebaum is licensed to practice in Florida (license number ISW16733) and her current practice location is
917 Miller St, New Haven, Missouri. She can be reached at her office (for appointments etc.) via phone at
(636) 357-0937.
NPI number for Destiny Leeanne Pottebaum is 1255032017 and her current mailing address is 917 Miller St, New Haven, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255032017.
Healthcare Provider's Profile
Full Name | Destiny Leeanne Pottebaum |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 917 Miller St, New Haven, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255032017
- Provider Enumeration Date: 03/16/2023
- Last Update Date: 03/16/2023
Medical Identifiers
Medical identifiers for Destiny Leeanne Pottebaum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255032017 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | ISW16733 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Destiny Leeanne Pottebaum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Destiny Leeanne Pottebaum, MSW 917 Miller St, New Haven, MO 63068-1192 Ph: (636) 357-0937 | Destiny Leeanne Pottebaum, MSW 917 Miller St, New Haven, MO 63068-1192 Ph: (636) 357-0937 |
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