Kelly M Leach, LCSW | |
5010 N Stone Mill Rd Ste B, Bloomington, IN 47408-9320 | |
(812) 929-2193 | |
(888) 789-8394 |
Full Name | Kelly M Leach |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5010 N Stone Mill Rd Ste B, Bloomington, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548835796 | NPI | - | NPPES |
26-3890332 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34010708A (Indiana) | Primary |
104100000X | Social Worker | 33008773A (Indiana) | Secondary |
Entity Name | Indiana University Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Mailing Address | Practice Location Address |
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Kelly M Leach, LCSW 5010 N Stone Mill Rd Ste B, Bloomington, IN 47408-9320 Ph: (812) 929-2193 | Kelly M Leach, LCSW 5010 N Stone Mill Rd Ste B, Bloomington, IN 47408-9320 Ph: (812) 929-2193 |
Sarah J Bullock, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 Fax: 812-378-8367 | |
Ms. Jody May, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 517 N Walnut St, Bloomington, IN 47404 Phone: 812-331-2003 | |
Mr. David N Lampke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1332 W Arch Haven Ave, Bloomington, IN 47403 Phone: 812-349-4406 Fax: 812-349-4418 | |
Mrs. Nicole A. Williamson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3939 S Walnut St, Suite 1, Bloomington, IN 47401 Phone: 812-322-4109 | |
Jennifer Claypoole, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 Fax: 812-337-2438 | |
Melissa Stone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 W Kirkwood Ave Ste 249, Bloomington, IN 47404 Phone: 812-727-4577 | |
Sandra Mary Mckinney, LCSW, LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550 S Adams St, Bloomington, IN 47403 Phone: 812-333-6324 Fax: 812-331-6700 |