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NPI Code Detail

MEDICARE: LEANN MARIE LEONARD LCSW

MEDICARE: LEANN MARIE LEONARD 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
1104100000XSocial Worker6205ND
2171M00000XCase Manager/Care CoordinatorND
31041C0700XClinical Social Worker6205ND

General Provider Information

NPI Number : 1023502069
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEANN MARIE LEONARD LCSW
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1800 E INTERSTATE AVE
Second Line :
City : BISMARCK
State : ND
Zip : 58503-1399
Country : US
Telephone Number : 701-323-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2018
Last Update Date : 08/18/2025

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