Individual provider Active NPI

Leland W Messersmith, LCSW

  • Clinical Social Worker
  • Brigham City, UT
National Provider Identifier
1518288018
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
77349613501 Issued in UT
Practice address
58 S 950 W
Brigham City, UT 84302-4424
Phone
(801) 698-8119
NPI assigned
Jun 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7756277-3506 UT
Clinical Social Worker 1041C0700X 77349613501 UT Primary

Addresses

Primary practice location

58 S 950 W
Brigham City, UT 84302-4424

Mailing address

306 N 1500 E
Layton, UT 84040-4558
Phone (801) 698-8119

Other names 1

  • Mr. Lee W Messersmith Other name

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
77349613501UTMDClinical Social Worker
7756277-3506UTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1518288018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N 1500 E",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840404558",
            "telephone_number": "801-698-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 S 950 W",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024424",
            "telephone_number": "801-698-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSERSMITH",
        "first_name": "LELAND",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7756277-3506",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "77349613501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE",
            "last_name": "MESSERSMITH",
            "middle_name": "W",
            "prefix": "MR.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brigham City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.