Leslie K Gannon, - Clinical Social Worker in Whitefish Bay, WI

Leslie K Gannon, is a Social Worker - Clinical based in Whitefish Bay, Wisconsin. Leslie K Gannon is licensed to practice in Wisconsin (license number 7490-123) and her current practice location is 5573 N Diversey Blvd, Whitefish Bay, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (414) 526-7622.

NPI number for Leslie K Gannon is 1316295272 and her current mailing address is 5573 N Diversey Blvd, Whitefish Bay, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316295272.

Contact Information

Leslie K Gannon,
5573 N Diversey Blvd,
Whitefish Bay, WI 53217-5202
(414) 526-7622
Not Available



Healthcare Provider's Profile

Full NameLeslie K Gannon
GenderFemale
SpecialitySocial Worker - Clinical
Location5573 N Diversey Blvd, Whitefish Bay, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316295272
  • Provider Enumeration Date: 08/27/2012
  • Last Update Date: 08/27/2012

Medical Identifiers

Medical identifiers for Leslie K Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316295272NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 7490-123 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leslie K Gannon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Leslie K Gannon,
5573 N Diversey Blvd,
Whitefish Bay, WI 53217-5202

Ph: (414) 526-7622
Leslie K Gannon,
5573 N Diversey Blvd,
Whitefish Bay, WI 53217-5202

Ph: (414) 526-7622

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› Verified 2 days ago


Social Worker in Whitefish Bay, WI

Emily Aleksy, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 316 E Silver Spring Dr Ste 227, Whitefish Bay, WI 53217
Phone: 414-301-3411    
Gabrielle Grace Trecek, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 316 E Silver Spring Dr Ste 227, Whitefish Bay, WI 53217
Phone: 414-301-3234    

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