| Susan K. Leeds, Llc | |
|
1300 114th Ave Se Ste 102 Bellevue WA 98004-6928 | |
| (425) 454-2835 | |
| (425) 454-2315 |
| Full Name | Susan K. Leeds, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1300 114th Ave Se Ste 102, Bellevue, Washington |
| Authorized Official Name and Position | Susan K Leeds (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4254542835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan K. Leeds, Llc 1300 114th Ave Se Ste 102 Bellevue WA 98004-6928 Ph: (425) 454-2835 | Susan K. Leeds, Llc 1300 114th Ave Se Ste 102 Bellevue WA 98004-6928 Ph: (425) 454-2835 |
| NPI Number | 1487009726 |
|---|---|
| Provider Enumeration Date | 04/24/2016 |
| Last Update Date | 01/07/2017 |
| Medicare PECOS PAC ID | 1759662398 |
|---|---|
| Medicare Enrollment ID | O20161220000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487009726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW00004237 (Washington) | Primary |
| Provider Name | Susan Kramer Leeds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659579415 PECOS PAC ID: 2668753203 Enrollment ID: I20170109000895 |
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