Tiffany A Leeker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2362-C Issued in AR

Practice address

103 S Main St Ste 3
Kennett, MO 63857-3039

Phone

(573) 840-0440

Fax

(870) 324-5122

NPI assigned

Oct 13, 2006

Last updated

Sep 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tiffany A Creed Former name

Medicare fee-for-service enrollment

Enrolled in AR, MO2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Affinity Relationship Coaching IncGroup PAC ID 0244564680, 4 clinicians

Practice addresses (Care Compare)

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.

• Affinity Relationship Coaching Inc

  • Clinical Social Worker
  • Piggott, AR
  • NPI 1851957625

  MO

  Medicare reassignment Care Compare group NPD
• McPherson Medical & Diagnostic, LLC

  dba Malden Family Clinic and Diagnostic

  • Clinic/Center
  • Malden, MO
  • NPI 1003407883
  Medicare reassignment NPD
• McPherson Medical & Diagnostic, LLC

  • Family Medicine Physician
  • Kennett, MO
  • NPI 1124679774
  NPD
• Success Health System, LLC

  • Psychiatry Physician
  • Columbia, MO
  • NPI 1508310293
  NPD
• Larrys Apothecary Inc Pggot Discount Drugs

  dba Piggott Discount Drug

  • Community/Retail Pharmacy
  • Piggott, AR
  • NPI 1295740710
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1669562591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S MAIN ST STE 3",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573039",
            "telephone_number": "573-840-0440",
            "fax_number": "870-324-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S MAIN ST STE 3",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573039",
            "telephone_number": "573-840-0440",
            "fax_number": "870-324-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEKER",
        "first_name": "TIFFANY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2362-C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2010018756",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "CREED",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sonia Nicole Lay
• Brittany Nicole Lebo
• Milliesha Lee
• Leeker Enterprises Inc (Reflections Counsulting)
• Jodi Jaye Leeker, LCSW
• Legacy Hospice LLC (Legacy Hospice)
• Sheila Lewis-Fisher
• Demetra Lewis
• Kelly Lewis
• Shelby Elizabeth Likes, FNP

• Clinical Social Worker in Kennett, MO
• Providers in Kennett, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.

Verify at the official NPI Registry.