Active NPI
Kassandra Leber
- Social Worker
- Dixon, IL
National Provider Identifier
1699147736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 119 W 1St St Ste 110
Dixon, IL 61021-3056 - Phone
- (815) 285-3070
- NPI assigned
- Oct 28, 2015
- 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 | Primary |
Addresses
Primary practice location
119 W 1St St Ste 110
Dixon, IL 61021-3056
Mailing address
119 W 1St St Ste 110
Dixon, IL 61021-3056
Phone (815) 285-3073
Other practice location 1
325 Il Route 2
Dixon, IL 61021-9118
Phone (815) 284-6611 ext. 338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575763200000",
"number": "1699147736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 W 1ST ST STE 110",
"city": "DIXON",
"state": "IL",
"postal_code": "610213056",
"telephone_number": "815-285-3073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W 1ST ST STE 110",
"city": "DIXON",
"state": "IL",
"postal_code": "610213056",
"telephone_number": "815-285-3070"
}
],
"practiceLocations": [
{
"address_1": "325 Il Route 2",
"address_purpose": "LOCATION",
"city": "Dixon",
"state": "IL",
"postal_code": "610219118",
"country_code": "US",
"telephone_number": "815-284-6611 x338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEBER",
"first_name": "KASSANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-28",
"last_updated": "2019-12-08",
"certification_date": "2019-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dixon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; 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.