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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WADE DARREN LEAVITT LMSW
NPI 1275015422
Social Worker in Idaho Falls, ID

Active since September 04, 2018
2105 CORONADO ST, IDAHO FALLS, ID 83404(208) 534-7881(208) 203-7067 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wade Darren Leavitt Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WADE DARREN LEAVITT LMSW (NPI 1275015422) is an individual social worker in Idaho Falls, Idaho, licensed in Idaho (LMSW-37989) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1275015422
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameWADE DARREN LEAVITTCredential: LMSW
Location Address2105 CORONADO STIdaho Falls, ID 83404-7495
Mailing AddressPo Box 1407Idaho Falls, ID 83403-1407 · (208) 534-7881 · Fax (208) 203-7067
Phone(208) 534-7881
Fax(208) 203-7067
Sole ProprietorYes
Enumeration DateSeptember 4, 2018
Last NPPES UpdateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1275015422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in ID · LMSW-37989
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
2105 CORONADO ST, Idaho Falls, ID 83404
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY PORTER
Psychologist (Counseling)
2105 CORONADO ST
IDAHO FALLS, ID 83404
Bonneville County (208) 534-7881
DR. TANNER MITCHELL NIELSEN PSYD
Psychologist (Clinical)
2105 CORONADO ST
IDAHO FALLS, ID 83404
Bonneville County (208) 534-7881
CANDICE SCHEMPP LPC
Counselor (Professional)
2105 CORONADO ST
IDAHO FALLS, ID 83404
Bonneville County (208) 534-7881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wade Leavitt's NPI number?

The NPI number for Wade Leavitt is 1275015422. It was assigned to this individual provider in the NPPES registry on September 4, 2018.

Where is Wade Leavitt located?

Wade Leavitt practices at 2105 Coronado St, Idaho Falls, ID 83404. The listed phone number is (208) 534-7881.

What is Wade Leavitt's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Wade Leavitt was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.