Molly Leach, LCSW-S | |
650 Joel Dr, Fort Campbell, KY 42223-5318 | |
(270) 798-8601 | |
Not Available |
Full Name | Molly Leach |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 650 Joel Dr, Fort Campbell, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528569670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 60235 (Texas) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
Mailing Address | Practice Location Address |
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Molly Leach, LCSW-S 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: () - | Molly Leach, LCSW-S 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8601 |
Erik Flolo, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Ms. Sharon Elaine Thompson, LCSWC, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-4269 | |
Patricia Gazza Ii, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 Phone: 270-798-8727 Fax: 270-956-0180 | |
Mr. Billy Dean Randolph Ii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Tracy Marie Fryer, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-461-2471 | |
Ms. Opal M Galloway, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8372 Fax: 270-956-0180 | |
Stephanie C Craig, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5661 Screaming Eagle Blvd, Fort Campbell, KY 42223 Phone: 270-956-3793 Fax: 270-798-5633 |