Maddy, Leigh Bergin
Maddy, Leigh Bergin is an individual health care provider with primary practice located at 22001 Fairmount Blvd , Shaker Heights OH 44118. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Maddy, Leigh Bergin can be contacted via phone (216) 932-2800.Contact Information
Primary practice address
22001 Fairmount Blvd
Shaker Heights OH 44118
Phone: (216) 932-2800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | S.1803273 | Ohio |
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
Other Service Providers / Peer Specialist | 175T00000X | 152112790042 | Missouri |
Profile Details
NPI number | 1699149864 |
---|---|
LBN Legal business name | Maddy, Leigh Bergin |
Credentials | LSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 25th, 2015 |
Last updated | Aug 6th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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