| Erik Leithe, Lcsw | |
|
336 W Spruce St Missoula MT 59802-4108 | |
| (406) 552-3803 | |
| Not Available |
| Full Name | Erik Leithe, Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 336 W Spruce St, Missoula, Montana |
| Authorized Official Name and Position | Erik Carl Leithe (OWNER) |
| Authorized Official Contact | 4065523803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erik Leithe, Lcsw Po Box 7522 Missoula MT 59807-7522 Ph: (406) 552-3803 | Erik Leithe, Lcsw 336 W Spruce St Missoula MT 59802-4108 Ph: (406) 552-3803 |
| NPI Number | 1457848947 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 04/19/2018 |
| Medicare PECOS PAC ID | 1557690971 |
|---|---|
| Medicare Enrollment ID | O20190911000437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457848947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 25117 (Montana) | Primary |
| Provider Name | Erik Leithe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023535366 PECOS PAC ID: 0547513228 Enrollment ID: I20181025002653 |
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