Individual provider Active NPI

Leshaunda Rockett-Dixon, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1720320203
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2018020722 Issued in MO
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

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608002843 KS Order and Referring Only - Clinical Social Worker 1355662958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018020722MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Fostering Ambition to Initiate Therapeutic Healing Therapy Group Clinical CurrentSince Aug 29, 2021 Accepting new patients

Locations

30 W Pershing Rd
Unit 413709
Kansas City, MO 64141
Phone (816) 944-0858

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.