Active NPI
Leshaunda Rockett-Dixon, LCSW
- Clinical Social Worker
- Kansas City, MO
National Provider Identifier
1720320203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2018020722
- Practice address
- 30 W Pershing Rd # 413709
Kansas City, MO 64108-2410 - Phone
- (816) 944-0858
- NPI assigned
- Mar 21, 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 | 2018020722 | MO | Primary |
Addresses
Primary practice location
30 W Pershing Rd # 413709
Kansas City, MO 64108-2410
Mailing address
PO Box 413709
Kansas City, MO 64141-3709
Phone (816) 944-0858
Other names 1
- Ms. Leshaunda Rockett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150608002843 | KS | Order and Referring Only - Clinical Social Worker | 1355662958 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018020722 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Fostering Ambition to Initiate Therapeutic Healing Therapy Group | Clinical | Current | Accepting new patients |
Locations
30 W Pershing Rd
Unit 413709
Kansas City, MO 64141
Phone (816) 944-0858
Interoperability endpoints
- leshaundarockettdixon@tdh.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Kansas City, MO
- NPI 1619644630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1720320203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 413709",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641413709",
"telephone_number": "816-944-0858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W PERSHING RD # 413709",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082410",
"telephone_number": "816-944-0858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKETT-DIXON",
"first_name": "LESHAUNDA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-21",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2018020722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LESHAUNDA",
"last_name": "ROCKETT",
"prefix": "MS.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.