Mrs Leslie Witherell, MSW, LISW | |
1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | |
(877) 906-9699 | |
(888) 483-0118 |
Full Name | Mrs Leslie Witherell |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1715 Indian Wood Cir Ste 200, Maumee, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013967702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I 5445 (Ohio) | Primary |
Entity Name | Geriatric Psychiatric Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467492173 PECOS PAC ID: 6204837388 Enrollment ID: O20101028000065 |
Mailing Address | Practice Location Address |
---|---|
Mrs Leslie Witherell, MSW, LISW 2644 Meadowwood Dr, Toledo, OH 43606-3063 Ph: (419) 367-8844 | Mrs Leslie Witherell, MSW, LISW 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 Ph: (877) 906-9699 |
Heather Michelle Voyles, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1655 Holland Rd Ste F, Maumee, OH 43537 Phone: 833-510-4357 Fax: 866-460-2997 | |
Debra J Roidl, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 720 Corey St, Maumee, OH 43537 Phone: 419-367-8835 Fax: 419-893-3828 | |
Krista M Mcculloch, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1627 Henthorne Dr Ste C, Maumee, OH 43537 Phone: 419-491-0420 | |
Olivia Dunbar, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1757 Indian Wood Cir, Maumee, OH 43537 Phone: 866-203-0308 | |
Elizabeth Brodhag, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 E Dudley St, Maumee, OH 43537 Phone: 419-326-5732 | |
Diana L Orns-grant, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1715 Indian Wood Cir Ste 200, Maumee, OH 43537 Phone: 269-339-8531 |