| Leeman Lcsw Llc | |
|
8790 Manchester Rd Ste 205d Brentwood MO 63144-2731 | |
| (636) 686-0692 | |
| Not Available |
| Full Name | Leeman Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8790 Manchester Rd Ste 205d, Brentwood, Missouri |
| Authorized Official Name and Position | Daniel J Leeman (OWNDER) |
| Authorized Official Contact | 6366860692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leeman Lcsw Llc 8790 Manchester Rd Ste 205d Brentwood MO 63144-2731 Ph: (636) 686-0692 | Leeman Lcsw Llc 8790 Manchester Rd Ste 205d Brentwood MO 63144-2731 Ph: (636) 686-0692 |
| NPI Number | 1063081776 |
|---|---|
| Provider Enumeration Date | 06/18/2021 |
| Last Update Date | 06/18/2021 |
| Certification Date | 06/17/2021 |
| Medicare PECOS PAC ID | 3577967348 |
|---|---|
| Medicare Enrollment ID | O20210802002970 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063081776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Daniel Leeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922472240 PECOS PAC ID: 6103127642 Enrollment ID: I20151229000443 |
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