Individual provider Active NPI

Leah Jolley Dygert, L.C.S.W.

  • Clinical Social Worker
  • Southaven, MS
National Provider Identifier
1184941403
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-2134 Issued in MS
Practice address
5915 Getwell Rd BLDG B
Southaven, MS 38672-6455
Phone
(662) 349-2979
Fax
(662) 349-2978
NPI assigned
Apr 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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 C-2134 MS Primary

Addresses

Primary practice location

5915 Getwell Rd BLDG B
Southaven, MS 38672-6455

Mailing address

5915 Getwell Rd BLDG B
Southaven, MS 38672-6455
Phone (662) 349-2979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20241106003052 MS Practitioner - Clinical Social Worker 5698209112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Journey to New Beginnings, PLLCGroup PAC ID 5698820447, 6 clinicians

Practice addresses (Care Compare)

5915 Getwell Rd
BLDG B
Southaven, MS 38672-6455
Phone (662) 349-2979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-2134MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Journey to New Beginnings, PLLC Clinical CurrentSince Sep 1, 2024 Accepting new patients

Locations

5915 Getwell Rd
Bldg B
Southaven, MS 38672
Phone (662) 349-2979

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1184941403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 GETWELL RD BLDG B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726455",
            "telephone_number": "662-349-2979",
            "fax_number": "662-349-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 GETWELL RD BLDG B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726455",
            "telephone_number": "662-349-2979",
            "fax_number": "662-349-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYGERT",
        "first_name": "LEAH",
        "middle_name": "JOLLEY",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C-2134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.