| Leah Jean Johnson, MSW, LMSW-C | |
| 
					6960 Orchard Lake Rd Ste 202, West Bloomfield, MI 48322-4519  | |
| (248) 985-9942 | |
| (248) 221-1775 | 
| Full Name | Leah Jean Johnson | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 6960 Orchard Lake Rd Ste 202, West Bloomfield, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215707237 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801118100 (Michigan) | Primary | 
| Entity Name | Ellie Mental Health Live Authentic Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760193031 PECOS PAC ID: 0648644658 Enrollment ID: O20230314002233  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Leah Jean Johnson, MSW, LMSW-C 502 E Cesar E Chavez Ave Apt 202, Lansing, MI 48906-4447 Ph: (407) 575-1910  | Leah Jean Johnson, MSW, LMSW-C 6960 Orchard Lake Rd Ste 202, West Bloomfield, MI 48322-4519 Ph: (248) 985-9942  | 
Shari-beth Goldman, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6555 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-592-2300 Fax: 248-592-2340  | |
Ms. Michelle Klein, MSW,CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6020 W Maple Rd Ste 501, West Bloomfield, MI 48322 Phone: 248-932-4325  | |
Natasha Castelvetere, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7096 Orchard Lake Rd, West Bloomfield, MI 48322 Phone: 616-328-6600  | |
Sarah Dubuc, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6555 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-592-2300  | |
Mrs. Laurel Jean Rebenstock, LMSW, CAADC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5600 W Maple Rd Ste B212, West Bloomfield, MI 48322 Phone: 248-605-5049  | |
Mrs. Lisa Weingarden Kaplan, LMSW, CAADC, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6773 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-788-3005 Fax: 248-661-6184  | |
Julie Zorn,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7137 Ward Eagle Dr., West Bloomfield, MI 48322 Phone: 248-470-8278  |