Active NPI
Kelli D Legleiter, LSCSW
- Clinical Social Worker
- Great Bend, KS
National Provider Identifier
1578883070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSCSW 2385
- Practice address
- 5815 Broadway
Great Bend, KS 67530-3123 - Phone
- (620) 792-2544
- Fax
- (620) 792-2544
- NPI assigned
- Jun 7, 2010
- Last updated
- Feb 27, 2013
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSCSW 2385 | KS | Primary |
Addresses
Primary practice location
5815 Broadway
Great Bend, KS 67530-3123
Mailing address
5815 Broadway
Great Bend, KS 67530-3123
Phone (620) 792-2544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200654610A | Medicaid | KS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSCSW 2385 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of Salina, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Salina, KS
- NPI 1598707036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1578883070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5815 BROADWAY",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675303123",
"telephone_number": "620-792-2544",
"fax_number": "620-792-4323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5815 BROADWAY",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675303123",
"telephone_number": "620-792-2544",
"fax_number": "620-792-2544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGLEITER",
"first_name": "KELLI",
"middle_name": "D",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-07",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "LSCSW 2385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200654610A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Bend, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.