NPIMap

Organization Active NPI

Leavell and Associates, LLC Counseling and Trauma Recovery Services

  • Clinical Social Worker
  • Independence, MO
National Provider Identifier
1447903380
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LEAVELL AND ASSOCIATES, LLC COUNSELING AND TRAUMA RECOVERY SERVICES
Practice address
3737 S Elizabeth St Ste 104
Independence, MO 64057-1717
Phone
(816) 654-4165
Fax
(816) 817-6595
NPI assigned
Feb 1, 2022
Last updated
Feb 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Mr. Mark David Leavell, LCSWNPI 1184728115
Title
Director
Phone
(816) 654-4165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

3737 S Elizabeth St Ste 104
Independence, MO 64057-1717

Mailing address

3737 S Elizabeth St Ste 104
Independence, MO 64057-1717
Phone (816) 654-4165

National Provider Directory

National Provider Directory

Locations

3737 S Elizabeth St
Ste 104
Independence, MO 64057
Phone (816) 654-4165

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1447903380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 S ELIZABETH ST STE 104",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571717",
            "telephone_number": "816-654-4165",
            "fax_number": "816-817-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 S ELIZABETH ST STE 104",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571717",
            "telephone_number": "816-654-4165",
            "fax_number": "816-817-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAVELL AND ASSOCIATES, LLC COUNSELING AND TRAUMA RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "LEAVELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "816-654-4165",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.