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Leah Gluklick Light

Social Worker

Behavioral Health & Social Service Providers

25180 Lahser Rd, Southfield, MI 48033-5866

PECOS Enrollment

This provider is enrolled in PECOS as LEAH LIGHT.

Based on the most recent information from CMS, provider Leah Gluklick Light is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1730742982
Provider Type
Individual
Full Name
Light, Leah Gluklick
Credential
LMSW

Gender
Female
Sole Proprietor
No
Enumeration Date
4/15/2019
Last Updated
4/15/2019

Contact Information

Practice Location

25180 Lahser Rd, Southfield, MI 48033-5866

(248) 262-2205

Unlisted Fax

Mailing Location

25180 Lahser Rd, Southfield, MI 48033-5866

(248) 262-2205

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801099375 Michigan

Leah Gluklick Light

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Nexts Care

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Vision Counseling Services

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