Individual provider Active NPI

Leah Davis Keval, LCSW

  • Clinical Social Worker
  • West Allis, WI
National Provider Identifier
1285037192
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8817-123 Issued in WI
Practice address
1126 S 70TH St Ste 112-3
West Allis, WI 53214-3124
Phone
(414) 727-2789
NPI assigned
Oct 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0000769 CO
Social Worker 104100000X 00009920539 CO
Clinical Social Worker 1041C0700X CSW.09924533 CO
Clinical Social Worker 1041C0700X 8817-123 WI Primary

Addresses

Primary practice location

1126 S 70TH St Ste 112-3
West Allis, WI 53214-3124

Mailing address

2416 Deerfield CT
Saukville, WI 53080-2438
Phone (414) 534-2783

Other practice location 1

1212 S Broadway
Suite 200
Denver, CO 80210-1582
Phone (720) 670-6996

Other identifiers 2

IdentifierTypeStateIssuer
8817-123OtherWIWISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
8817-123MedicaidWI

Other names 1

  • Leah Kathryn Davis Former name

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0000769COMDAddiction (Substance Use Disorder) Counselor
00009920539COMDSocial Worker
CSW.09924533COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ozaukee Family Services Current Accepting new patients

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": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285037192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 DEERFIELD CT",
            "city": "SAUKVILLE",
            "state": "WI",
            "postal_code": "530802438",
            "telephone_number": "414-534-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 S 70TH ST STE 112-3",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143124",
            "telephone_number": "414-727-2789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 S Broadway",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802101582",
            "country_code": "US",
            "telephone_number": "720-670-6996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEVAL",
        "first_name": "LEAH",
        "middle_name": "DAVIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000769",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "00009920539",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924533",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8817-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES",
            "identifier": "8817-123",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8817-123",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "DAVIS",
            "middle_name": "KATHRYN",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Allis, WI

Sources for this page

Verify at the official NPI Registry.