Leticia Haacke, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Salt Lake City, Utah. She graduated from healthcare school in 2012 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Catholic Health Initiatives Colorado and her current practice location is
5965 S 900 E, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 263-7100.
Leticia Haacke is licensed to practice in Utah (license number 8283071-3501) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376822098.
Healthcare Provider's Profile
| Full Name | Leticia Haacke |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 13 Years |
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| Location | 5965 S 900 E, Salt Lake City, Utah |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Leticia Haacke graduated from medical school in 2012
NPI Data:
- NPI Number: 1376822098
- Provider Enumeration Date: 08/11/2011
- Last Update Date: 07/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981001401
- Enrollment ID: I20210927002104
Medical Identifiers
Medical identifiers for Leticia Haacke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376822098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 8283071-3501 (Utah) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8283071-3501 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Catholic Health Initiatives Colorado | 8022927342 | 1231 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Leticia Haacke allows following entities to bill medicare on her behalf.
| Entity Name | Physician Group Of Utah Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
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| Entity Name | Catholic Health Initiatives Colorado |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942903562 PECOS PAC ID: 8022927342 Enrollment ID: O20230615001995 |
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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. Leticia Haacke is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Leticia Haacke, LCSW 4052 West 3390 South, Suite 105, West Valley City, UT 84120 Ph: (801) 964-3111 | Leticia Haacke, LCSW 5965 S 900 E, Salt Lake City, UT 84121-1720 Ph: (801) 263-7100 |
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