| Destiny Leeanne Pottebaum, MSW | |
|
917 Miller St, New Haven, MO 63068-1192 | |
| (636) 357-0937 | |
| Not Available |
| Full Name | Destiny Leeanne Pottebaum |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 917 Miller St, New Haven, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255032017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW16733 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Leeanne Pottebaum, MSW 917 Miller St, New Haven, MO 63068-1192 Ph: (636) 357-0937 | Destiny Leeanne Pottebaum, MSW 917 Miller St, New Haven, MO 63068-1192 Ph: (636) 357-0937 |
Casey Kohler, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 410 Olive St, New Haven, MO 63068 Phone: 636-584-4705 | |
Lindsey Beth Jasper, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 410 Hereford Park, New Haven, MO 63068 Phone: 417-766-3675 |