| Leap Therapeutic Services | |
|
700 Tech Center Pkwy Ste 200 Newport News VA 23606-3075 | |
| (757) 772-1009 | |
| (757) 210-3969 |
| Full Name | Leap Therapeutic Services |
|---|---|
| Speciality | Social Worker |
| Location | 700 Tech Center Pkwy Ste 200, Newport News, Virginia |
| Authorized Official Name and Position | Andre Allsopp (PRESIDENT/CEO) |
| Authorized Official Contact | 7579772100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leap Therapeutic Services 700 Tech Center Pkwy Ste 200 Newport News VA 23606-3075 Ph: (757) 977-2100 | Leap Therapeutic Services 700 Tech Center Pkwy Ste 200 Newport News VA 23606-3075 Ph: (757) 772-1009 |
| NPI Number | 1649740572 |
|---|---|
| Provider Enumeration Date | 12/04/2018 |
| Last Update Date | 03/26/2025 |
| Certification Date | 03/26/2025 |
| Medicare PECOS PAC ID | 4082943402 |
|---|---|
| Medicare Enrollment ID | O20190911000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649740572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Frances H Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942593892 PECOS PAC ID: 5991974644 Enrollment ID: I20110815000110 |
| Provider Name | Andre Christopher Allsopp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689110470 PECOS PAC ID: 7517235302 Enrollment ID: I20170620002195 |
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