Leah Rose Richardson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801092157 Issued in MI

Practice address

1651 W Centre Ave Ste 207
Portage, MI 49024-6312

Phone

(269) 369-1869

NPI assigned

May 5, 2015

Last updated

Feb 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Leah Keller Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Forever Blooming Therapy PLLC

  • Clinical Social Worker
  • Portage, MI
  • NPI 1497520449
  Medicare reassignment NPD Authorized official
• Diane M Kanous

  • Counseling Psychologist
  • Kalamazoo, MI
  • NPI 1588837736
  Medicare reassignment NPD
• Kalamazoo County Community Mental Health Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kalamazoo, MI
  • NPI 1710066253
  Medicare reassignment NPD
• Enlightened Counseling & Wellness PLLC

  • Clinical Social Worker
  • Kalamazoo, MI
  • NPI 1750088522
  NPD
• Kalamazoo County Community Mental Health Authority

  dba Integrated Services of Kalamazoo

  • Community/Behavioral Health Agency
  • Kalamazoo, MI
  • NPI 1477225506
  NPD
• Dorman and Associates PLC

  • Psychologist
  • Kalamazoo, MI
  • NPI 1275737413
  NPD (past)

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1568849099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7912 S 8TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098955",
            "telephone_number": "269-369-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 W CENTRE AVE STE 207",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490246312",
            "telephone_number": "269-369-1869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7912 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490098955",
            "country_code": "US",
            "telephone_number": "269-361-1869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "LEAH",
        "middle_name": "ROSE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801092157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "6801092157",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "KELLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Social Worker in Portage, MI
• Providers in Portage, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.