Caroline J Leatherman, is a
Student In An Organized Health Care Education/training Program based in Roseville, California. Caroline J Leatherman is licensed to practice in California (license number AMFT162132) and her current practice location is
2260 Douglas Blvd Ste 150, Roseville, California. She can be reached at her office (for appointments etc.) via phone at
(916) 573-0379.
NPI number for Caroline J Leatherman is 1720925779 and her current mailing address is 2260 Douglas Blvd Ste 150, Roseville, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720925779.
Healthcare Provider's Profile
| Full Name | Caroline J Leatherman |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2260 Douglas Blvd Ste 150, Roseville, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720925779
- Provider Enumeration Date: 04/29/2026
- Last Update Date: 06/11/2026
Medical Identifiers
Medical identifiers for Caroline J Leatherman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720925779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | AMFT162132 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | AMFT162132 (California) | 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. Caroline J Leatherman 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 |
Caroline J Leatherman, 2260 Douglas Blvd Ste 150, Roseville, CA 95661-4273 Ph: (916) 573-0379 | Caroline J Leatherman, 2260 Douglas Blvd Ste 150, Roseville, CA 95661-4273 Ph: (916) 573-0379 |
Reviews and Comments