MEDICARE: LESLIE HAUSER SADLER LCSW, ACSW

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	1921	OK
2	1041C0700X	Clinical Social Worker	SW7285	FL

General Provider Information

NPI Number	:	1407842503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE HAUSER SADLER LCSW, ACSW

Provider Business Mailing Address
First Line	:	4700 LAS VEGAS BLVD. N.
Second Line	:	MIKE OCALLAGHAN FEDERAL MEDICAL
City	:	NELLIS AFB
State	:	NV
Zip	:	89191-6601
Country	:	US
Telephone Number	:	702-653-3880
Fax Number	:

Provider Business Practice Location Address
First Line	:	4700 LAS VEGAS BLVD. N.
Second Line	:	MIKE OCALLAGHAN FEDERAL MEDICAL
City	:	NELLIS AFB
State	:	NV
Zip	:	89191-6601
Country	:	US
Telephone Number	:	702-653-3880
Fax Number	:

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

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	02/19/2016

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