Leesa Alexis Durst-weisman, ASW is a
Social Worker based in Vallejo, California. Leesa Alexis Durst-weisman is licensed to practice in California (license number 101949) and her current practice location is
508 Alabama St, Vallejo, California. She can be reached at her office (for appointments etc.) via phone at
(510) 779-4506.
NPI number for Leesa Alexis Durst-weisman is 1508328972 and her current mailing address is 508 Alabama St, Vallejo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508328972.
Healthcare Provider's Profile
| Full Name | Leesa Alexis Durst-weisman |
|---|
| Gender | Female |
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| Speciality | Social Worker |
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| Location | 508 Alabama St, Vallejo, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508328972
- Provider Enumeration Date: 04/03/2019
- Last Update Date: 07/16/2023
Medical Identifiers
Medical identifiers for Leesa Alexis Durst-weisman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508328972 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 101949 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 101949 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leesa Alexis Durst-weisman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Leesa Alexis Durst-weisman, ASW
508 Alabama St,
Vallejo, CA 94590-4446
Ph: (510) 779-4506 | Leesa Alexis Durst-weisman, ASW
508 Alabama St,
Vallejo, CA 94590-4446
Ph: (510) 779-4506 |
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