Mr Mark D Leavell, MSW, LCSW | |
3210 Gillham Rd, Kansas City, MO 64109-1714 | |
(816) 531-7737 | |
(816) 531-7738 |
Full Name | Mr Mark D Leavell |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3210 Gillham Rd, Kansas City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184728115 | NPI | - | NPPES |
495353310 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2003019892 (Missouri) | Primary |
Entity Name | Burrell, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275541740 PECOS PAC ID: 4486548625 Enrollment ID: O20040210000372 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark D Leavell, MSW, LCSW 205 Se 2nd St, Blue Springs, MO 64014-3103 Ph: (816) 224-0172 | Mr Mark D Leavell, MSW, LCSW 3210 Gillham Rd, Kansas City, MO 64109-1714 Ph: (816) 531-7737 |
Mrs. Jessica Woodruff, PLCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9700 Grandview Rd, Kansas City, MO 64137 Phone: 816-508-3400 Fax: 816-508-3425 | |
Ms. Nancy S. Wolff, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10918 Elm Ave Ste 102, Kansas City, MO 64134 Phone: 816-765-6600 | |
Mrs. Holly Jackson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 511 W 86th Ter, Kansas City, MO 64114 Phone: 816-377-6872 | |
Carol Thoma-perry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 E 66th Ter, Kansas City, MO 64131 Phone: 816-803-1937 | |
Abigail Tomczuk, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3100 Ne 83rd St, Kansas City, MO 64119 Phone: 816-468-0400 | |
Maryana I. Lopez, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 W 19th Ter, Kansas City, MO 64108 Phone: 816-404-6745 | |
Mrs. Kristine Vince, LCSW, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 E 59th St, Kansas City, MO 64113 Phone: 816-363-1898 Fax: 816-822-7711 |