Leah Black, LCSW | |
310 E Broadway Ave, Jackson, WY 83001-8636 | |
(307) 654-7003 | |
(307) 224-4973 |
Full Name | Leah Black |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 21 Years |
Location | 310 E Broadway Ave, Jackson, Wyoming |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003107731 | NPI | - | NPPES |
117699400 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-742 (Wyoming) | Primary |
Entity Name | Jackson Hole Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053704726 PECOS PAC ID: 5496076002 Enrollment ID: O20150608002987 |
Mailing Address | Practice Location Address |
---|---|
Leah Black, LCSW Po Box 13572, Jackson, WY 83002-3572 Ph: (307) 654-7003 | Leah Black, LCSW 310 E Broadway Ave, Jackson, WY 83001-8636 Ph: (307) 654-7003 |
Jean Abrams, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4180 Gregory Lane, Jackson, WY 83001 Phone: 307-734-6040 | |
Mrs. Stephanie Capps, MSW, PCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 640 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-2046 | |
Jamie R Lasden, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 690 S Ushwy 89, Suite 201, Jackson, WY 83001 Phone: 781-254-0304 | |
Lauren E Furtney, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1415 S Hwy 89, Jackson, WY 83001 Phone: 307-739-8999 Fax: 307-739-4811 | |
Tara Singh, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 640 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-2046 Fax: 307-733-6289 | |
Cheyenne Lyn Syvertson-hagestuen, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 S Cache Street, Jackson, WY 83001 Phone: 307-733-7946 |