Ms Julie Ann Leatherman, LISW | |
241 Philomena Dr, Wauseon, OH 43567 | |
(567) 454-0456 | |
Not Available |
Full Name | Ms Julie Ann Leatherman |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 241 Philomena Dr, Wauseon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639580160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.1700028 (Ohio) | Primary |
Entity Name | Harbor |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366526782 PECOS PAC ID: 8325931181 Enrollment ID: O20040205000276 |
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 |
---|---|
Ms Julie Ann Leatherman, LISW 241 Philomena Dr, Wauseon, OH 43567-1357 Ph: (567) 454-0456 | Ms Julie Ann Leatherman, LISW 241 Philomena Dr, Wauseon, OH 43567 Ph: (567) 454-0456 |
Sandra Kay Pessefall, L.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7320 State Highway 108, Suite A, Wauseon, OH 43567 Phone: 419-335-3732 | |
Natalia Anita Grimolizzi-fasano, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1115 N Shoop Ave Ste 1, Wauseon, OH 43567 Phone: 419-335-6122 | |
Savannah G Short, MSW LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 850 W Elm St, Wauseon, OH 43567 Phone: 413-254-6065 | |
Brenda M Byers, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 560 W Linfoot St, Wauseon, OH 43567 Phone: 419-337-1973 Fax: 419-335-6506 | |
Sarah Gruner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7320 State Highway 108, Ste. A, Wauseon, OH 43567 Phone: 419-335-3732 | |
Mrs. Karen A. N. Vondeylen, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7320 State Highway 108, Suite A, Wauseon, OH 43567 Phone: 419-335-3732 |