| Alicia Marie Leitwein, LCDC II | |
|
131 W Main St, Lancaster, OH 43130-3719 | |
| (614) 746-8725 | |
| Not Available |
| Full Name | Alicia Marie Leitwein |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 131 W Main St, Lancaster, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588116925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.2304386-SUPV (Ohio) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 161131 (Ohio) | Secondary |
| Entity Name | Integrated Services For Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073578431 PECOS PAC ID: 9234372525 Enrollment ID: O20130905000931 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Marie Leitwein, LCDC II 4490 Sitterly Rd, Canal Winchester, OH 43110-8870 Ph: (614) 315-6297 | Alicia Marie Leitwein, LCDC II 131 W Main St, Lancaster, OH 43130-3719 Ph: (614) 746-8725 |
Ms. Salina Jane Gaier, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 106 Starret St Ste 100, Lancaster, OH 43130 Phone: 740-687-0042 | |
Barbara Andermatt, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 564 Mill Park Dr, Lancaster, OH 43130 Phone: 740-687-9389 Fax: 740-689-9518 | |
Kaylee Jo Hively, MSW, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1750 Granville Pike, Lancaster, OH 43130 Phone: 833-510-4357 Fax: 866-460-2997 | |
Mr. Ross William Ford, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1592 Granville Pike, Lancaster, OH 43130 Phone: 740-687-0835 Fax: 740-687-9391 | |
Bonnie Lee Daniels, MSW LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 635 Mt. Zion Rd Nw, Lancaster, OH 43130 Phone: 740-654-8718 Fax: 740-654-8718 | |
Mrs. Megan Elizabeth Dowds, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5900 Bis Rd, Lancaster, OH 43130 Phone: 740-994-0664 Fax: 937-342-4242 | |
Mrs. Michel Jane Gotwals, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1334 Sheridan Dr, Lancaster, OH 43130 Phone: 740-653-9186 Fax: 740-653-9214 |