Wayne Leach, LISW | |
35000 Chardon Rd, Suite 210, Willoughby, OH 44094-9012 | |
(440) 951-5600 | |
(440) 951-1293 |
Full Name | Wayne Leach |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 35000 Chardon Rd, Willoughby, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851491005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I-8151 (Ohio) | Primary |
Entity Name | Marymount Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720031131 PECOS PAC ID: 6507763661 Enrollment ID: O20031217000026 |
Mailing Address | Practice Location Address |
---|---|
Wayne Leach, LISW 35000 Chardon Rd, Suite 210, Willoughby, OH 44094-9012 Ph: (440) 951-5600 | Wayne Leach, LISW 35000 Chardon Rd, Suite 210, Willoughby, OH 44094-9012 Ph: (440) 951-5600 |
Mrs. Kim Hearn-vance, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-251-9027 | |
Lisa Ann Leopold, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Molly L Hearn, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-354-8934 | |
Dornice Ivanna Friday, MSW, LW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-9600 | |
Maureen O'connor, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Maxene N Zion, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 34900 Chardon Rd, Suite #107, Willoughby, OH 44094 Phone: 440-951-5600 Fax: 440-951-1293 | |
Jennifer Rose Walter, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 |