MR. MARK D LEAVELL (MSW, LCSW) – Clinical Social Worker, NPI 1184728115

MR. MARK D LEAVELL (MSW, LCSW) is a healthcare provider. based in Springfield, Missouri. specializing in Clinical Social Worker. They hold the professional credentials MSW, LCSW. They hold a License No. 2003019892 (MO). The NPI Number for MR. MARK D LEAVELL (MSW, LCSW) is 1184728115

Main info

Male
Sole Proprietor
Name
MR. MARK D LEAVELL (MSW, LCSW)
NPI
1184728115
Phone
(417) 761-5000
Address
1300 E Bradford Pkwy
Enumeration Date
11 September 2006
Last Update Date
11 March 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MR. MARK D LEAVELL (MSW, LCSW)

  • 1300 E Bradford Pkwy

    Springfield, MO 658044264

    Phone: (417) 761-5000

    Fax: (417) 761-5011

    Type: Location

  • 205, Southeast 2nd Street, East Lakeview Annex, Blue Springs, Jackson County, Missouri, 64014, United States

    BLUE SPRINGS, MO 640143103

    Phone: (816) 224-0172

    Fax: (816) 220-8163

    Type: Mailing

  • 3210, Gillham Road, North Hyde Park, Westport, Kansas City, Jackson County, Missouri, 64109, United States

    KANSAS CITY, MO 641091714

    Phone: (816) 531-7737

    Fax: (816) 531-7738

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131126000708IClinical Social WorkerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65804)

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Reviews

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Frequently asked questions

How do I look up MR. MARK D LEAVELL (MSW, LCSW) by NPI?
Use NPI 1184728115 when you need to reference MR. MARK D LEAVELL (MSW, LCSW) in forms, claims, or directories.
Does this profile mean MR. MARK D LEAVELL (MSW, LCSW) is currently active?
Yes — MR. MARK D LEAVELL (MSW, LCSW) appears active in the national provider directory.
What kind of provider is MR. MARK D LEAVELL (MSW, LCSW)?
The page reflects Clinical Social Worker for MR. MARK D LEAVELL (MSW, LCSW). Clinical services aligned with this taxonomy classification.
Where is MR. MARK D LEAVELL (MSW, LCSW)'s primary listing?
We display Springfield, Missouri because that is what the record indicates for MR. MARK D LEAVELL (MSW, LCSW).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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