Mrs Vida Lynne Penn-leon, LCSW-C | |
33 W Franklin St Ste 2, Hagerstown, MD 21740-4826 | |
(240) 457-9505 | |
Not Available |
Full Name | Mrs Vida Lynne Penn-leon |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 33 W Franklin St Ste 2, Hagerstown, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225150980 | NPI | - | NPPES |
10379 | Other | MD | LCSW-C |
SWB-2024-0703 | Other | NM | LCSW-STATE LICENSE NM |
0904015550 | Other | VA | LICENSED CLINICAL SOCIAL WORKER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904015550 (Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | 10379 (Maryland) | Primary |
Entity Name | Pivots Potential |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659097525 PECOS PAC ID: 5799152724 Enrollment ID: O20221104000649 |
Mailing Address | Practice Location Address |
---|---|
Mrs Vida Lynne Penn-leon, LCSW-C 1401 Haven Rd Apt B12, Hagerstown, MD 21742-3097 Ph: (240) 457-9505 | Mrs Vida Lynne Penn-leon, LCSW-C 33 W Franklin St Ste 2, Hagerstown, MD 21740-4826 Ph: (240) 457-9505 |
Annette Jeffers, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 370 Virginia Ave, Hagerstown, MD 21740 Phone: 301-733-3130 | |
Victoria Leizer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Public Sq # 428, Hagerstown, MD 21740 Phone: 301-514-3960 | |
Vicki S Churchey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 18714 N Village, Hagerstown, MD 21742 Phone: 301-733-0330 Fax: 301-733-4038 | |
Ms. Patti Kay Cooper, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11116 Medical Campus Rd, Suite 2989, Hagerstown, MD 21742 Phone: 301-766-7600 Fax: 301-766-7702 | |
Tammy Sherrard, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1180 Professional Ct, Hagerstown, MD 21740 Phone: 301-791-3045 Fax: 240-313-3071 | |
Mr. Edward John Soffe, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 113 S Prospect St, Hagerstown, MD 21740 Phone: 301-573-2800 | |
Desirae Mehaffie, LCSWC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1180 Professional Ct, Hagerstown, MD 21740 Phone: 301-791-3045 Fax: 240-313-3071 |