Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tiffany A Leeker, LCSW

Individual provider Clinical Social Worker · NPI 1669562591

Tiffany A Leeker, LCSW is a Clinical Social Worker in Kennett, Missouri. Qualified in 2010, 16 years ago. Practices with Affinity Relationship Coaching Inc, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arkansas and Missouri.

Years since qualifying
16
Licensed in
AR, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

103 S Main St Ste 3
Kennett, MO 63857-3039
Phone: (573) 840-0440
Fax: (870) 324-5122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2362-C (AR)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2010018756 (MO)

Record details

NPI number1669562591
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Affinity Relationship Coaching Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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