Ms Cindy Ellen Leisse, LCSW, LISAC is a
Social Worker - Clinical based in Phoenix, Arizona. Ms Cindy Ellen Leisse is licensed to practice in Arizona (license number LCSW1717) and her current practice location is
3800 N. Central Avenue, Suite 800, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at
(602) 266-3596.
NPI number for Ms Cindy Ellen Leisse is 1598808552 and her current mailing address is 6120 N. 13th Avenue, Phoenix, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598808552.
Healthcare Provider's Profile
| Full Name | Ms Cindy Ellen Leisse |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 3800 N. Central Avenue, Phoenix, Arizona |
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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: 1598808552
- Provider Enumeration Date: 02/15/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Cindy Ellen Leisse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598808552 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC10444 (Arizona) | Primary |
| 1041C0700X | Social Worker - Clinical | LCSW1717 (Arizona) | 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. Ms Cindy Ellen Leisse 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 |
|---|
Ms Cindy Ellen Leisse, LCSW, LISAC
6120 N. 13th Avenue,
Phoenix, AZ 85013-1423
Ph: (602) 284-9129 | Ms Cindy Ellen Leisse, LCSW, LISAC
3800 N. Central Avenue, Suite 800,
Phoenix, AZ 85012-1992
Ph: (602) 266-3596 |
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