Leta Myers, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LC6726 Issued in ME

Practice address

263 State St Ste 23
Bangor, ME 04401-5438

Phone

(207) 945-3615

Fax

(207) 945-3444

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Teletherapeutics Health IncGroup PAC ID 7719375385, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Teletherapeutics Health Inc

  • Clinical Psychologist
  • Spokane, WA
  • NPI 1508436528
  Medicare reassignment Care Compare group
• Teletherapeutics Health in C

  • Clinical Psychologist
  • Sierra Vista, AZ
  • NPI 1336886886
  Medicare reassignment
• Sweetser

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saco, ME
  • NPI 1538122445
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891855920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 STATE ST STE 23",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015438",
            "telephone_number": "207-945-3615",
            "fax_number": "207-945-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 STATE ST STE 23",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015438",
            "telephone_number": "207-945-3615",
            "fax_number": "207-945-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "LETA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LC6726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "100021",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Mae Mushrall, MS, OTR/L
• Katelyn Cyr Musinski, DPT
• My Friend'S Place - First United Methodist Church
• My Life Well Adjusted LLC
• Heath Myers, LCSW
• Mollie Ruth Myers, MD
• Farbod Nabizadeh, MD
• Kenneth G Nadeau, PAC
• Steven A Nadeau, MD
• Shilpa Nair

• Social Worker in Bangor, ME
• Providers in Bangor, ME by specialty
• Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.