Provider Demographics
NPI:1144476573
Name:ZEAMER, LEAH R (MSW LCSW)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:R
Last Name:ZEAMER
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:R
Other - Last Name:HEINSOHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:438 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:WAUPACA
Mailing Address - State:WI
Mailing Address - Zip Code:54981-1418
Mailing Address - Country:US
Mailing Address - Phone:715-412-0020
Mailing Address - Fax:
Practice Address - Street 1:300 N WOODS EDGE DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-3149
Practice Address - Country:US
Practice Address - Phone:715-412-0020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI72901231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical