Active NPI
Haylee Leavitt-Kirkland
- Social Worker
- Ozark, MO
National Provider Identifier
1164169652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2021046209
- Practice address
- 2424 W Calvin Dr
Ozark, MO 65721-8481 - Phone
- (417) 352-2685
- NPI assigned
- May 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2021046209 | MO | Primary |
Addresses
Primary practice location
2424 W Calvin Dr
Ozark, MO 65721-8481
Mailing address
2424 W Calvin Dr
Ozark, MO 65721-8481
Phone (417) 352-2685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021046209 | MO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1164169652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 W CALVIN DR",
"city": "OZARK",
"state": "MO",
"postal_code": "657218481",
"telephone_number": "417-352-2685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 W CALVIN DR",
"city": "OZARK",
"state": "MO",
"postal_code": "657218481",
"telephone_number": "417-352-2685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAVITT-KIRKLAND",
"first_name": "HAYLEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-16",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2021046209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ozark, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.