Leesa L. Sitter Bcsw, Acsw Inc. | |
820 Jordan St Suite 220 Shreveport LA 71101-4519 | |
(318) 226-8753 | |
(318) 226-8754 |
Full Name | Leesa L. Sitter Bcsw, Acsw Inc. |
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Speciality | Social Worker |
Location | 820 Jordan St, Shreveport, Louisiana |
Authorized Official Name and Position | Leesa L. Sitter (LCSW, OWNER) |
Authorized Official Contact | 3182268753 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Leesa L. Sitter Bcsw, Acsw Inc. 820 Jordan St Suite 220 Shreveport LA 71101-4519 Ph: (318) 226-8753 | Leesa L. Sitter Bcsw, Acsw Inc. 820 Jordan St Suite 220 Shreveport LA 71101-4519 Ph: (318) 226-8753 |
NPI Number | 1366777526 |
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Provider Enumeration Date | 10/06/2009 |
Last Update Date | 10/06/2009 |
Medicare PECOS PAC ID | 7315061850 |
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Medicare Enrollment ID | O20100903000915 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366777526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2279 (Louisiana) | Primary |
Provider Name | Leesa L Sitter |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407953912 PECOS PAC ID: 9638293004 Enrollment ID: I20100908000328 |
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