Individual provider Active NPI

Leah Musacchio, LMSW

  • Social Worker
  • Springfield, MO
National Provider Identifier
1295553667
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2024033344 Issued in MO
Practice address
3804 S Cox Ave
Springfield, MO 65807-8603
Phone
(417) 812-6850
NPI assigned
Oct 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2024033344 MO Primary

Addresses

Primary practice location

3804 S Cox Ave
Springfield, MO 65807-8603

Mailing address

3804 S Cox Ave
Springfield, MO 65807-8603
Phone (417) 812-6850

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

LicenseStateTypeSpecialty
2024033344MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Mind and Body Clinic CurrentSince Oct 6, 2024 Accepting new patients

Locations

3804 S Cox Ave
Springfield, MO 65807
Phone (417) 812-6850

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": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1295553667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 S COX AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658078603",
            "telephone_number": "417-812-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 S COX AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658078603",
            "telephone_number": "417-812-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSACCHIO",
        "first_name": "LEAH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2024033344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.