Organization Active NPI

Katie Leikam, LLC

  • Clinical Social Worker
  • Decatur, GA
National Provider Identifier
1053844225
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW006045 Issued in GA
Legal business name
KATIE LEIKAM, LLC
Practice address
108 Ponce de Leon CT
Suite 201
Decatur, GA 30030-1960
Phone
(404) 702-1452
NPI assigned
Apr 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Katie LeikamNPI 1205379773
Title
Owner
Phone
(706) 201-3531

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW006045 GA Primary

Addresses

Primary practice location

108 Ponce de Leon CT
Suite 201
Decatur, GA 30030-1960

Mailing address

769 Sunnybrook Dr
Decatur, GA 30033-4734
Phone (706) 201-3531

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1053844225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 SUNNYBROOK DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334734",
            "telephone_number": "706-201-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PONCE DE LEON CT",
            "address_2": "SUITE 201",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301960",
            "telephone_number": "404-702-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE LEIKAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "LEIKAM",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-201-3531"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.