Kian Leggett, LICSW, SMMHS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60996401 Issued in WA

Practice address

270 Mox Chehalis Rd
Elma, WA 98541-9237

Phone

(253) 299-4664

Fax

(253) 993-4566

NPI assigned

Nov 15, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Keanne Leggett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1992274237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 MOX CHEHALIS RD",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985419237",
            "telephone_number": "253-299-4664",
            "fax_number": "253-993-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 MOX CHEHALIS RD",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985419237",
            "telephone_number": "253-299-4664",
            "fax_number": "253-993-4566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4611 S American Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984091519",
            "country_code": "US",
            "telephone_number": "253-299-4664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGGETT",
        "first_name": "KIAN",
        "credential": "LICSW, SMMHS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-15",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60697576",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60996401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEANNE",
            "last_name": "LEGGETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cassidy Kramp
• Laboratory Corporation of America
• Katala Lach, ARNP
• Belinda Viann Lear, M.D.
• Lee & Hwang PLLC
• Janel Lynn Lewis, CAAR
• Kari M Lima, M.D.
• Monica Lynne Lindquist Cain
• Kathi Paulyne Lloyd, MPA
• Amy L Lystad, M.S., LMHC, BCB

• All providers in Elma, WA
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.