Katherine Mavis Leahey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904012546 Issued in VA

Practice address

8475 Bell Creek Rd
Mechanicsville, VA 23116-3866

Phone

(804) 365-6760

NPI assigned

Jun 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Mavis Nelson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hanover County Board of Supervisors

  • Mental Health Counselor
  • Ashland, VA
  • NPI 1104858653
  NPD
• Myspectrum LLC

  • Mental Health Counselor
  • North Chesterfield, VA
  • NPI 1174029359
  NPD
• Hanover County Board of Supervisors

  • Ambulance
  • Hanover, VA
  • NPI 1245275403
  NPD (past)

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1164091575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 WASHINGTON HWY",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8475 BELL CREEK RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163866",
            "telephone_number": "804-365-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHEY",
        "first_name": "KATHERINE",
        "middle_name": "MAVIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@hanovercounty.gov",
            "affiliation": "N",
            "address_1": "12300 Washington Hwy",
            "city": "Ashland",
            "state": "VA",
            "country_code": "US",
            "postal_code": "230057646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "NELSON",
            "middle_name": "MAVIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jocelyn Lawrence, DDS
• Shannon Rath Lawson
• LDC Family Services
• Madison Grace Le Duc
• Janice Le
• Elizabeth Leavitt, MS, CCC-SLP
• Teresa W Leber, R.N.
• Patricia Leblanc, FNP-BC
• Kate Thompson Ledoux, PHARM D.
• Lee-Davis Medical Associates, PC

• Clinical Social Worker in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.