DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LESLIE TACKITT LMSW

MEDICARE: LESLIE TACKITT LMSW
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
11041C0700XClinical Social Worker6801112426MI

General Provider Information

NPI Number : 1720706336
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE TACKITT LMSW
Provider Business Mailing Address
First Line : 3369 CHERRY CREEK LN
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48314-1025
Country : US
Telephone Number : 586-329-9200
Fax Number :
Provider Business Practice Location Address
First Line : 3369 CHERRY CREEK LN
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48314-1025
Country : US
Telephone Number : 586-329-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2022
Last Update Date : 08/27/2022

Similar Medicare Providers

1114125531 — THE UROLOGY CENTER PC
Practice Location Address:
44700 DELCO
STERLING HTS, MI
48313-1025
Practice Phone: 586-997-8000
Practice Fax: 586-254-1748
1346235934 — GODOFREDO C CARANDANG MD
Practice Location Address:
7804 W COLLEGE DR , SUITE 1NW
PALOS HEIGHTS, IL
60463-1025
Practice Phone: 708-361-5778
Practice Fax: 708-361-5631
1861487464 — KATHLEEN A RUGGERO DO
Practice Location Address:
7804 W COLLEGE DR , SUITE 1NW
PALOS HEIGHTS, IL
60463-1025
Practice Phone: 708-361-5778
Practice Fax: 708-361-5631
1225024508 — JOHN M ANDREONI MD
Practice Location Address:
7804 W COLLEGE DR , SUITE 1NW
PALOS HEIGHTS, IL
60463-1025
Practice Phone: 708-361-5778
Practice Fax: 708-361-5631
1053383125 — KIRAN DHILLON M.D.
Practice Location Address:
7804 W COLLEGE DR , SUITE 1NW
PALOS HEIGHTS, IL
60463-1025
Practice Phone: 708-361-5778
Practice Fax: 708-361-5631
1174534564 — MUHAMMAD SHAMSE TABRIZ M.D.
Practice Location Address:
7804 W COLLEGE DR , SUITE 1NW
PALOS HEIGHTS, IL
60463-1025
Practice Phone: 708-361-5778
Practice Fax: 708-361-5631

Directions to “ LESLIE TACKITT LMSW” 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.