| Leah Sinn Iversen Llc | |
|
518 N Colony Ct Bloomington IN 47408 | |
| (812) 320-2017 | |
| Not Available |
| Full Name | Leah Sinn Iversen Llc |
|---|---|
| Speciality | Social Worker |
| Location | 518 N Colony Ct, Bloomington, Indiana |
| Authorized Official Name and Position | Leah Sinn Iversen (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8123202017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leah Sinn Iversen Llc 885 S College Mall Rd # 433 Bloomington IN 47401-6301 Ph: (812) 320-2017 | Leah Sinn Iversen Llc 518 N Colony Ct Bloomington IN 47408 Ph: (812) 320-2017 |
| NPI Number | 1033737978 |
|---|---|
| Provider Enumeration Date | 07/07/2020 |
| Last Update Date | 09/02/2020 |
| Certification Date | 09/02/2020 |
| Medicare PECOS PAC ID | 8325458318 |
|---|---|
| Medicare Enrollment ID | O20201103000617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033737978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Leah Elizabeth Sinn Iversen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770101875 PECOS PAC ID: 9234549221 Enrollment ID: I20201103001361 |
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