Madison Leigh Leatherman
Individual provider Active NPI Clinical Social Worker · MC Calla, AL
NPI 1083466262 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1083466262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 7326 Old Tannery TRL
MC Calla, AL 35111-3384 - Phone
- (239) 810-3823
- NPI assigned
- Apr 2, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
7326 Old Tannery TRL
MC Calla, AL 35111-3384
Mailing address
7326 Old Tannery TRL
MC Calla, AL 35111-3384
Phone (239) 810-3823
Other providers in MC Calla, AL
- David Kristopher Jones
- John Ronald Jones
- Frederick Charles Kneuss III
- Laurie Kneuss
- Victor C Lacour
- Callie J. Lewis
- Life of Abundance, LLC
- Livwell Physical Therapy & Wellness LLC
- McAdory Dental Center, LLC
- McCalla Area Fire District
All providers in MC Calla, AL · Clinical Social Worker in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.