Lisa M Harmon, LCSW | |
550 Pope Ave, Fort Leavenworth, KS 66027-2332 | |
(913) 684-6096 | |
(703) 497-1225 |
Full Name | Lisa M Harmon |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 550 Pope Ave, Fort Leavenworth, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598701245 | NPI | - | NPPES |
6106190 | Medicaid | NC | |
010293774 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW11621 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | 0904006325 (Virginia) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
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Lisa M Harmon, LCSW 550 Pope Ave, Fort Leavenworth, KS 66027-2332 Ph: (136) 846-6096 | Lisa M Harmon, LCSW 550 Pope Ave, Fort Leavenworth, KS 66027-2332 Ph: (913) 684-6096 |
Rocky Gene Macy, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Munson Army Health Center, Fort Leavenworth, KS 66027 Phone: 913-684-6775 | |
Mrs. Laura Ann Whaley, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6562 Fax: 913-684-6208 | |
Mr. Brent (nmn) Bengtson, LSCSW, LCSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Munson Army Health Center Attn: Mcxn-cod Ms. Cutton, Fort Leavenworth, KS 66027 Phone: 913-684-6562 Fax: 913-684-6208 | |
Mrs. Julie Michelle Gary, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6774 | |
Mrs. Rebecca Lynn Johnson, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton), Fort Leavenworth, KS 66027 Phone: 913-684-6562 Fax: 913-684-6208 | |
Mr. John Thomas Lesniak, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 550 Pope Avenue, Munson Army Health Center Attn Mcxn-coo Ms Cotton, Fort Leavenworth, KS 66027 Phone: 913-684-6562 Fax: 913-684-6208 | |
Mrs. Saralyn A. Ativie, MSW, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6769 Fax: 913-684-6766 |