Diane Debra Leaders, MSW, LICSW | |
516 S Pokegama Ave, Grand Rapids, MN 55744-3820 | |
(218) 327-2001 | |
Not Available |
Full Name | Diane Debra Leaders |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 20 Years |
Location | 516 S Pokegama Ave, Grand Rapids, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366196115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 14409 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeview Behavioral Health Inc | 9537432307 | 19 |
Entity Name | Lakeview Behavioral Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154404325 PECOS PAC ID: 9537432307 Enrollment ID: O20170830003216 |
Entity Name | The Roses Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427832690 PECOS PAC ID: 1557717600 Enrollment ID: O20231025001820 |
Mailing Address | Practice Location Address |
---|---|
Diane Debra Leaders, MSW, LICSW 516 S Pokegama Ave, Grand Rapids, MN 55744-3820 Ph: (218) 327-2001 | Diane Debra Leaders, MSW, LICSW 516 S Pokegama Ave, Grand Rapids, MN 55744-3820 Ph: (218) 327-2001 |
Kristin Anttila, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1415 E Us Highway 169, Grand Rapids, MN 55744 Phone: 218-327-8294 | |
Mr. Michael Harbin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35382 Us Highway 2, Grand Rapids, MN 55744 Phone: 218-327-4886 Fax: 218-327-4848 | |
Paige Kavanagh, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 413 Se 13th St, Grand Rapids, MN 55744 Phone: 218-327-3000 | |
Ms. Lisa Marie Silvestri-adamich, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 35629 Hill Dr, Grand Rapids, MN 55744 Phone: 218-259-9417 | |
Ms. Lisa Jo Corradi, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1880 River Rd, Grand Rapids, MN 55744 Phone: 218-327-3000 Fax: 218-327-1871 | |
Lynette Schmidt, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35382 Us Hwy 2, Grand Rapids, MN 55744 Phone: 218-327-4886 Fax: 218-327-4848 | |
Megan Gerak, LGSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 515 S Pokegama Ave, Grand Rapids, MN 55744 Phone: 218-398-0988 |