MEDICARE: LEAH TEGLOVIC LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	4167	HI

General Provider Information

NPI Number	:	1366985681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH TEGLOVIC LCSW

Provider Business Mailing Address
First Line	:	91-1091 LAAULU ST APT F
Second Line	:
City	:	EWA BEACH
State	:	HI
Zip	:	96706-4448
Country	:	US
Telephone Number	:	808-209-2151
Fax Number	:

Provider Business Practice Location Address
First Line	:	91-1091 LAAULU ST APT F
Second Line	:
City	:	EWA BEACH
State	:	HI
Zip	:	96706-4448
Country	:	US
Telephone Number	:	808-209-2151
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2016
Last Update Date	:	11/18/2016

Similar Medicare Providers

1679421770 — HEATHER JANE BEATON
Practice Location Address:

17102 HARBOR BLUFFS CIR APT D
HUNTINGTON BEACH, CA
92649-4448

Practice Phone: 816-406-7937
Practice Fax:

1568479319 — DR. DAVID H KIM M.D., D.D.S.
Practice Location Address:

4448 E VILLAGE RD
LONG BEACH, CA
90808-1540

Practice Phone: 562-421-9369
Practice Fax: 562-420-8950

1376669119 — RINA JAVIER O.D.
Practice Location Address:

3076 NW FEDERAL HWY
JENSEN BEACH, FL
34957-4448

Practice Phone: 772-692-1233
Practice Fax:

1285927350 — LAKEWOOD OMF SURGERY, INC.
Practice Location Address:

4448 E VILLAGE RD
LONG BEACH, CA
90808-1540

Practice Phone: 562-421-9369
Practice Fax: 562-420-8950

1902288368 — HOUSECALL NUTRITION OF VIRGINIA LLC
Practice Location Address:

105 SEA TRACE CT , APT 102
VIRGINIA BEACH, VA
23451-4448

Practice Phone: 585-469-6227
Practice Fax:

1467825786 — PAUL JUNG KIM D.D.S M.D.
Practice Location Address:

4448 E VILLAGE RD
LONG BEACH, CA
90808-1540

Practice Phone: 415-816-7749
Practice Fax:

Directions to “ LEAH TEGLOVIC LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.