| Leslie Leet, LCSW | |
|
246 N Main St, Star, ID 83669 | |
| (208) 283-7181 | |
| Not Available |
| Full Name | Leslie Leet |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 246 N Main St, Star, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699021246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-34286 (Idaho) | Primary |
| Entity Name | Leslie Leet Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245704931 PECOS PAC ID: 5496093049 Enrollment ID: O20190206003109 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Leet, LCSW 1 Kalisa Way Ste 101, Paramus, NJ 07652-3508 Ph: (888) 948-6789 | Leslie Leet, LCSW 246 N Main St, Star, ID 83669 Ph: (208) 283-7181 |
Mr. Brian Raymond, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10022 W Dylan Ct, Star, ID 83669 Phone: 208-571-2723 Fax: 208-348-5573 | |
Audrey Oliver, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2121 N Garnet Creek Ave, Star, ID 83669 Phone: 208-740-0544 | |
Dakotah Antony Cole, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2121 N Garnet Creek Ave, Star, ID 83669 Phone: 208-740-0544 | |
Linda K Rogers-perkins, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9628 W State St, Star, ID 83669 Phone: 208-398-3067 | |
Patricia Dianne Martelle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 328 S Streamleaf Ave, Star, ID 83669 Phone: 208-869-6266 |