Organization Active NPI

Leigh Wade LLC

  • Clinical Social Worker
  • Fayetteville, AR
National Provider Identifier
1043177850
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LEIGH WADE LLC
Practice address
216 W South St
Fayetteville, AR 72701-5959
Phone
(479) 506-8394
Fax
(479) 755-3580
NPI assigned
Jan 6, 2026
Last updated
Jan 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leigh Anna Wade, LCSWNPI 1679669246
Title
Mental Health Therapist
Phone
(479) 790-3962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

216 W South St
Fayetteville, AR 72701-5959

Mailing address

216 W South St
Fayetteville, AR 72701-5959
Phone (479) 506-8394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260225001381 AR Part B Supplier - Clinic/Group Practice 9739660036 Receives reassigned benefits from 1 practitioner
Practice locations: Fayetteville, AR

National Provider Directory

National Provider Directory

Locations

216 W South St
Fayetteville, AR 72701
Phone (479) 236-5631

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1043177850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W SOUTH ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015959",
            "telephone_number": "479-506-8394",
            "fax_number": "479-755-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W SOUTH ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015959",
            "telephone_number": "479-506-8394",
            "fax_number": "479-755-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIGH WADE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "479-790-3962",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.