| Mrs Jeni E Leary, LCSW | |
| 
					40 Hanging Wall Road, Boulder, MT 59632  | |
| (406) 439-6786 | |
| Not Available | 
| Full Name | Mrs Jeni E Leary | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 40 Hanging Wall Road, Boulder, Montana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760504310 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 522LCSW (Montana) | Primary | 
| Entity Name | Pureview Health Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1740390756 PECOS PAC ID: 3678487394 Enrollment ID: O20031117000890  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Jeni E Leary, LCSW Po Box 666, Boulder, MT 59632-0666 Ph: (406) 439-6786  | Mrs Jeni E Leary, LCSW 40 Hanging Wall Road, Boulder, MT 59632 Ph: (406) 439-6786  | 
Abbi A Fetters, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 105 Venture Way, Boulder, MT 59632 Phone: 406-225-4617  | |
Mrs. Kristin Nicole Fearon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 105 Venture Way, Boulder, MT 59632 Phone: 406-225-4610 Fax: 406-225-3464  | |
Mrs. Wendie J. Vanderwater, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Venture Way, Boulder, MT 59632 Phone: 406-225-4605 Fax: 406-225-3464  | |
Heidi Walter, SWLC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Venture Way, Boulder, MT 59632 Phone: 406-225-4609  | |
Mrs. Jonina Kenison, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 308 S Centre St, Boulder, MT 59632 Phone: 850-368-4070  |