Mrs Leslie Boag, MSW, LCSW | |
10917 W Dove Roost Rd, Queen Creek, AZ 85142-9573 | |
(480) 789-2099 | |
Not Available |
Full Name | Mrs Leslie Boag |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 10917 W Dove Roost Rd, Queen Creek, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588331193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-17403 (Arizona) | Primary |
Entity Name | Ascend Healthcare Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093399479 PECOS PAC ID: 0749685642 Enrollment ID: O20210816001661 |
Mailing Address | Practice Location Address |
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Mrs Leslie Boag, MSW, LCSW 10917 W Dove Roost Rd, Queen Creek, AZ 85142-9573 Ph: (480) 789-2099 | Mrs Leslie Boag, MSW, LCSW 10917 W Dove Roost Rd, Queen Creek, AZ 85142-9573 Ph: (480) 789-2099 |
Jeffrey Michael Troutman, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21321 E Ocotillo Rd Ste 113, Queen Creek, AZ 85142 Phone: 480-465-9841 | |
Mrs. Sharon Lee Mendenhall, LCSW, CCBT, DAPA Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 301 E Combs Rd, Queen Creek, AZ 85240 Phone: 480-987-5300 Fax: 480-987-5009 | |
Mrs. Pinal Patel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22633 E Indiana Ave, Queen Creek, AZ 85142 Phone: 847-769-3944 Fax: 847-789-0085 | |
Merrill R. Heslop, L.C.S.W. Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 20185 E Ocotillo Rd, #105, Queen Creek, AZ 85242 Phone: 480-987-2700 Fax: 480-987-2703 | |
Nicole Lea Lore, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20185 E Ocotillo Rd Ste 105, Queen Creek, AZ 85242 Phone: 480-987-2700 Fax: 480-987-2703 | |
Miss Ashley Ramos, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22530 E Tierra Grande, Queen Creek, AZ 85142 Phone: 856-723-7335 |