Doctor Name: | MELODY ANN LEAVITT |
NPI Number: | 1215986203 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSCSW, ACSW |
License Number: | LSCSW 0710 |
Business Practice Address: | 506 1/2 Main St Mound City, KS - 660566254 |
Business Phone Number: | 9137954414 |
Business Fax Number: | |
Mailing Address: | Po Box 64, MOUND CITY |
State: | KS |
Postal Code: | 660560064 |
Phone Number: | 9137952567 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LSCSW 0710 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |