Dr Leanette Henagan, DBH LCSW, LISAC is a
Social Worker - Clinical based in Phoenix, Arizona. Dr Leanette Henagan is licensed to practice in Arizona (license number LCSW-13621) and her current practice location is
3039 W Peoria Ave, Ste 102-429, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at
(602) 469-9040.
NPI number for Dr Leanette Henagan is 1811355118 and her current mailing address is 3039 W Peoria Ave, Ste 102-429, Phoenix, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811355118.
Healthcare Provider's Profile
Full Name | Dr Leanette Henagan |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3039 W Peoria Ave, Phoenix, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811355118
- Provider Enumeration Date: 02/02/2016
- Last Update Date: 09/03/2020
Medical Identifiers
Medical identifiers for Dr Leanette Henagan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811355118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-11452 (Arizona) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW-13621 (Arizona) | 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. Dr Leanette Henagan 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 Address | Practice Location Address |
Dr Leanette Henagan, DBH LCSW, LISAC 3039 W Peoria Ave, Ste 102-429, Phoenix, AZ 85029-5212 Ph: (602) 469-9040 | Dr Leanette Henagan, DBH LCSW, LISAC 3039 W Peoria Ave, Ste 102-429, Phoenix, AZ 85029-5212 Ph: (602) 469-9040 |
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