Active NPI
Jodi Jaye Leeker, LCSW
- Social Worker
- Kennett, MO
National Provider Identifier
1497903330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2345-C
- Practice address
- 925 Hwy V V
Kennett, MO 63857-0071 - Phone
- (573) 888-5925
- Fax
- (573) 888-9365
- NPI assigned
- Sep 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2345-C | AR | Primary |
Addresses
Primary practice location
925 Hwy V V
Kennett, MO 63857-0071
Mailing address
925 Hwy V V
Kennett, MO 63857-0071
Phone (573) 888-5925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1905 Chateau Blvd
Suite B
Paragould, AR 72450-6279
Phone (870) 236-2265
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2345-C | AR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen Hall, LCSW, PA | Social Worker | Current | Accepting new patients |
| TDS Psychiatric Services L.L.C. | Past | Accepting new patients |
Locations
1905 Chateau Blvd
Paragould, AR 72450
Phone (870) 236-2265
1905 Chateau Blvd
Ste B
Paragould, AR 72450
Phone (870) 236-2265
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Paragould, AR
- NPI 1871016899
Social Worker
-
- Adult Mental Health Clinic/Center
- Jonesboro, AR
- NPI 1992289151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1497903330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 HWY V V",
"city": "KENNETT",
"state": "MO",
"postal_code": "638570071",
"telephone_number": "573-888-5925",
"fax_number": "573-888-9365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 HWY V V",
"city": "KENNETT",
"state": "MO",
"postal_code": "638570071",
"telephone_number": "573-888-5925",
"fax_number": "573-888-9365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEEKER",
"first_name": "JODI",
"middle_name": "JAYE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-04",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "2345-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.