Mrs Vicki M Leopold, LCSW - Clinical Social Worker in Fayetteville, GA

Mrs Vicki M Leopold, LCSW is a Social Worker - Clinical based in Fayetteville, Georgia. Mrs Vicki M Leopold is licensed to practice in Georgia (license number CSW003385) and her current practice location is 170 Broadmoor Dr, Fayetteville, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 461-0284.

NPI number for Mrs Vicki M Leopold is 1689660235 and her current mailing address is 170 Broadmoor Dr, Fayetteville, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689660235.

Contact Information

Mrs Vicki M Leopold, LCSW
170 Broadmoor Dr,
Fayetteville, GA 30215-2714
(770) 461-0284
(770) 461-0284

Map and Direction




Healthcare Provider's Profile

Full NameMrs Vicki M Leopold
GenderFemale
SpecialitySocial Worker - Clinical
Location170 Broadmoor Dr, Fayetteville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689660235
  • Provider Enumeration Date: 09/20/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Vicki M Leopold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689660235NPI-NPPES
654749047AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical CSW003385 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Vicki M Leopold is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Vicki M Leopold, LCSW
170 Broadmoor Dr,
Fayetteville, GA 30215-2714

Ph: (770) 461-0284
Mrs Vicki M Leopold, LCSW
170 Broadmoor Dr,
Fayetteville, GA 30215-2714

Ph: (770) 461-0284

Reviews and Comments


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