Leo W. Lavender

Clinical Social Worker · Blue Island, IL

Individual Active NPI

NPI number 1609255819

Practice location

13811 Western Ave
Blue Island, IL 60406-3228
Phone
(773) 552-4120

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NPI record

NPI
1609255819
Entity type
Individual (Type 1)
Enumeration date
May 20, 2015
Last updated
August 26, 2025
Certified
August 26, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149017079 IL

Mailing address

15912 Vine Ave
Harvey, IL 60426-5036
Phone
(773) 552-4120

About Leo Lavender

Leo W. Lavender is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 13811 Western Ave, Blue Island, IL 60406-3228. The NPI number 1609255819 was assigned on May 20, 2015 and the record was last updated on August 26, 2025.

Leo Lavender lists a license in the registry: #149017079 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Leo W. Lavender?

The NPI number is 1609255819.

What is the phone number of Leo Lavender?

The phone number listed for the practice location is (773) 552-4120.

Where is Leo Lavender located?

13811 Western Ave, Blue Island, IL 60406-3228.

What is the taxonomy code for Leo Lavender?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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