Individual provider Active NPI

Marquita D Leverette, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1235763210
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2019036159 Issued in MO
Practice address
6155 Oak St Ste B
Kansas City, MO 64113-2266
Phone
(816) 607-3091
Fax
(816) 494-1952
NPI assigned
Feb 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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 2019036159 MO Primary

Addresses

Primary practice location

6155 Oak St Ste B
Kansas City, MO 64113-2266

Mailing address

6155 Oak St Ste B
Kansas City, MO 64113-2266
Phone (816) 607-3091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20231218003412 MO Practitioner - Clinical Social Worker 1456700335 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019036159MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center Incorporated CurrentSince Nov 15, 2023 Accepting new patients
Truman Medical Center, Incorporated Current Accepting new patients
Truman Medical Center, Incorporated CurrentSince Nov 15, 2023 Accepting new patients

Locations

2301 Holmes St
Kansas City, MO 64108

2310 Holmes St
Fl 6
Kansas City, MO 64108

300 W 19th Ter
Kansas City, MO 64108
Phone (816) 404-5709

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

Organizations & group practices 3

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": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1235763210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 OAK ST STE B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641132266",
            "telephone_number": "816-607-3091",
            "fax_number": "816-494-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 OAK ST STE B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641132266",
            "telephone_number": "816-607-3091",
            "fax_number": "816-494-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVERETTE",
        "first_name": "MARQUITA",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2019036159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.