MEDICARE: LEANNA MARIE CALVIN LCSWA

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	104100000X	Social Worker	P011841	NC
2	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588187116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEANNA MARIE CALVIN LCSWA

Provider Business Mailing Address
First Line	:	1705 FLAT RIVER DR APT 103
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-5336
Country	:	US
Telephone Number	:	707-704-7769
Fax Number	:

Provider Business Practice Location Address
First Line	:	1705 FLAT RIVER DR APT 103
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-5336
Country	:	US
Telephone Number	:	707-704-7769
Fax Number	:

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

Provider Enumeration Date	:	07/25/2017
Last Update Date	:	07/21/2022

Similar Medicare Providers

1164626149 — BACK PAIN INSTITUTE OF PORT CHARLOTTE LLC
Practice Location Address:

2496 CARING WAY , SUITE B
PORT CHARLOTTE, FL
33952-5336

Practice Phone: 941-235-3535
Practice Fax: 941-235-3550

1346481520 — GARY A. GOERG, DC, PA
Practice Location Address:

2496 CARING WAY , UNIT B
PORT CHARLOTTE, FL
33952-5336

Practice Phone: 941-235-3535
Practice Fax: 941-235-3550

1346559358 — MRS. VAN THANH TO
Practice Location Address:

5336 PROSPERITY CHURCH RD
CHARLOTTE, NC
28269-1133

Practice Phone: 704-947-7775
Practice Fax:

1275936700 — VISION CENTRAL
Practice Location Address:

2709 CENTRAL AVE
CHARLOTTE, NC
28205-5336

Practice Phone: 704-375-5585
Practice Fax: 704-375-5586

1427983337 — SAMIYA CANNON
Practice Location Address:

10916 EDUCATION WAY APT 1305A
CHARLOTTE, NC
28262-7125

Practice Phone: 919-987-4524
Practice Fax:

1679079099 — GOOD STRESS COMPANY PLLC
Practice Location Address:

10150 MALLARD CREEK RD STE 104
CHARLOTTE, NC
28262-4567

Practice Phone: 980-242-7090
Practice Fax: 980-556-7219

Directions to “ LEANNA MARIE CALVIN LCSWA” 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.