Life Discovery Service LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIFE DISCOVERY SERVICE LLC

Practice address

10672 US Highway 61
Jackson, MO 63755-7171

Phone

(573) 837-7144

Fax

(636) 333-4510

NPI assigned

Mar 22, 2021

Organization subpart

No

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

Authorized official

Name

Melissa Hale, LCSWNPI 1063063956

Title

Owner

Phone

(573) 837-7144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Lee Hale, MSW, LCSW

  • Clinical Social Worker
  • Jackson, MO
  • NPI 1063063956

  Clinical, MO

  Medicare reassignment NPD Authorized official
• Mary Johanna Schwartz, LMSW

  • Social Worker
  • Cape Girardeau, MO
  • NPI 1932049319

  MO

  Medicare reassignment NPD

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1770169765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "POCAHONTAS",
            "state": "MO",
            "postal_code": "637790100",
            "telephone_number": "573-837-7144",
            "fax_number": "636-333-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10672 US HIGHWAY 61",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637557171",
            "telephone_number": "573-837-7144",
            "fax_number": "636-333-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE DISCOVERY SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-837-7144",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Elena Lee, PSYD
• Leah W Legrand, FNP
• Kara Terese Lemmon, DMD
• Pamela A Lewis, F.N.P.
• Truman Wayne Lewis, DDS
• Ashley Elizabeth Lindsley, JD, BSN, RN
• Angela Logel
• Kylie Shea Lossing, PTA
• Carol Sue Ludwig, PHD CCC SP
• Mackenzie Lynch

• Clinical Social Worker in Jackson, MO
• Providers in Jackson, 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 Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.