Individual provider Active NPI

Michelle Acevedo, LMSW

  • Clinical Social Worker
  • Leavenworth, KS
National Provider Identifier
1174906788
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07189 Issued in KS
Practice address
513 S 5TH St
Leavenworth, KS 66048-2610
Phone
(913) 680-1226
Fax
(913) 680-0331
NPI assigned
Jun 30, 2015
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 07189 KS Primary

Addresses

Primary practice location

513 S 5TH St
Leavenworth, KS 66048-2610

Mailing address

PO Box 747
Manhattan, KS 66505-0747
Phone (913) 322-4900

Other practice location 1

2001 Claflin Rd
Manhattan, KS 66502-3415
Phone (785) 587-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612002720 KS Practitioner - Clinical Social Worker 0547702946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pawnee Mental Health Service IncGroup PAC ID 3870406820, 29 clinicians

Practice addresses (Care Compare)

2001 Claflin Rd
Manhattan, KS 66502-3415
Phone 7855874300605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07189KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pawnee Mental Health Service, Inc. CurrentSince Jun 4, 2024 Accepting new patients
Pawnee Mental Health Service, Inc. CurrentSince Jun 4, 2024 Accepting new patients

Locations

1836 M St
Belleville, KS 66935
Phone (785) 527-2549

2020 N Independence Ave
Beloit, KS 67420
Phone (785) 738-3261

207 N Mill St
Ste 5
Beloit, KS 67420
Phone (785) 738-5363

503 Grant Ave
Clay Center, KS 67432
Phone (785) 632-2108

210 W 21st St
Concordia, KS 66901
Phone (785) 243-8900

1735 W Ash St
Junction City, KS 66441
Phone (785) 238-1085

814 Caroline Ave
Junction City, KS 66441
Phone (785) 762-5250

116 S 4th St
Ste A
Manhattan, KS 66502

1558 Hayes Dr
Manhattan, KS 66502
Phone (785) 587-4315

1650 Hayes Dr
Manhattan, KS 66502
Phone (785) 587-4333

2001 Claflin Rd
Manhattan, KS 66502

122 W Main St
Mankato, KS 66956
Phone (785) 378-3898

406 N 3rd St
Marysville, KS 66508
Phone (785) 562-3907

406 N 3rd St
Ste 3
Marysville, KS 66508
Phone (785) 562-3907

510 E US Highway 24
Wamego, KS 66547
Phone (785) 456-7408

321 C St
Washington, KS 66968

321 C St
Ste 102
Washington, KS 66968
Phone (785) 325-3252

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1174906788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665050747",
            "telephone_number": "913-322-4900",
            "fax_number": "913-780-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 S 5TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660482610",
            "telephone_number": "913-680-1226",
            "fax_number": "913-680-0331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Claflin Rd",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665023415",
            "country_code": "US",
            "telephone_number": "785-587-4300",
            "fax_number": "785-587-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "07189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

Verify at the official NPI Registry.