Individual provider Active NPI

Laci Leichliter, LMSW

  • Social Worker
  • Goodland, KS
National Provider Identifier
1427453141
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
9418 Issued in KS
Practice address
106 Willow Rd
Goodland, KS 67735-1518
Phone
(785) 890-4030
Fax
(785) 890-6077
NPI assigned
Oct 23, 2014
Last updated
Oct 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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 9418 KS Primary

Addresses

Primary practice location

106 Willow Rd
Goodland, KS 67735-1518

Mailing address

106 Willow Rd
Goodland, KS 67735-1518
Phone (785) 890-4030

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
I20200206001677 KS Practitioner - Clinical Social Worker 4082040266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kansas School of Med (KC/Wich/Sal), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goodland Regional Medical CenterGroup PAC ID 3375535263, 22 clinicians

Practice addresses (Care Compare)

106 Willow Rd
Goodland, KS 67735-1518
Phone (785) 890-6012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9418KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Goodland Regional Medical Center Current Accepting new patients
Goodland Regional Medical Center CurrentSince Jan 27, 2020 Accepting new patients
Goodland Regional Medical Center CurrentSince Jan 27, 2020 Accepting new patients

Locations

106 Willow Rd
Goodland, KS 67735
Phone (785) 890-6012

220 W 2nd St
Goodland, KS 67735
Phone (785) 890-3625

Interoperability endpoints

  • Direct secure messaging: laci.leichliter.1@13372.direct.athenahealth.com
  • Direct secure messaging: laci.leichliter.1@17074.direct.athenahealth.com

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, 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": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1427453141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WILLOW RD",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677351518",
            "telephone_number": "785-890-4030",
            "fax_number": "785-890-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WILLOW RD",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677351518",
            "telephone_number": "785-890-4030",
            "fax_number": "785-890-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEICHLITER",
        "first_name": "LACI",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "9418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodland, KS

Sources for this page

Verify at the official NPI Registry.