Active NPI
Leanne Kathleen Buttice, MSW, LCSW, CCDP-D
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1861727703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2008034937
- Practice address
- 5351 Delmar Blvd
Saint Louis, MO 63112-3146 - Phone
- (314) 645-6840
- NPI assigned
- Oct 9, 2009
- 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 | 2008034937 | MO | Primary |
Addresses
Primary practice location
5351 Delmar Blvd
Saint Louis, MO 63112-3146
Mailing address
5351 Delmar Blvd
Saint Louis, MO 63112-3146
Phone (314) 645-6840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008034937 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1861727703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5351 DELMAR BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631123146",
"telephone_number": "314-645-6840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5351 DELMAR BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631123146",
"telephone_number": "314-645-6840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTICE",
"first_name": "LEANNE",
"middle_name": "KATHLEEN",
"credential": "MSW, LCSW, CCDP-D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-09",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2008034937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.