Mrs Leanna April Fowlds, LCSW | |
57109 Quentin Dr, California, MO 65018-6000 | |
(573) 469-2433 | |
(573) 550-2436 |
Full Name | Mrs Leanna April Fowlds |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 6 Years |
Location | 57109 Quentin Dr, California, Missouri |
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 |
---|---|---|---|
1487294203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2021031414 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sondermind Provider Network Llc | 9537572490 | 485 |
Entity Name | Sondermind Provider Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210812000440 |
Mailing Address | Practice Location Address |
---|---|
Mrs Leanna April Fowlds, LCSW 2208 Missouri Blvd., Ste. 102 #139, Jefferson City, MO 65109-1134 Ph: (573) 469-2433 | Mrs Leanna April Fowlds, LCSW 57109 Quentin Dr, California, MO 65018-6000 Ph: (573) 469-2433 |
Kristen Nicole Anderson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30439 Flag Spring Rd, California, MO 65018 Phone: 573-230-7576 | |
Jason R Hoffmeyer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 318 Oak St, California, MO 65018 Phone: 573-796-2431 | |
Dr. Amy Henderson, DPC, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1021 W Buchanan St Ste 6, California, MO 65018 Phone: 573-777-7501 |