Individual
PATTI LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8555 TAFT ST., MERRILLVILLE, IN 46410-6123
(219) 769-4005
(219) 769-2508
Mailing address
8400 LOUISIANA ST., MERRILLVILLE, IN 46410-6385
(219) 757-1928
(219) 757-1980
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
149003721
IL
1041C0700X
Clinical Social Worker
149003721
IL
1041C0700X
Clinical Social Worker
Primary
34005948A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000657519
ANTHEM
IN
Enumeration date
06/26/2007
Last updated
02/15/2012
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