Mr Leo W Lavender, | |
15912 Vine Ave, Harvey, IL 60426-5036 | |
(773) 552-4120 | |
Not Available |
Full Name | Mr Leo W Lavender |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 12 Years |
Location | 15912 Vine Ave, Harvey, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609255819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149017079 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christian Community Health Center | 4284533183 | 7 |
Oak Forest Psychological Service | 6507762580 | 6 |
Entity Name | Cook County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
Entity Name | Oak Forest Psychological Service |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265487060 PECOS PAC ID: 6507762580 Enrollment ID: O20031210000634 |
Entity Name | Christian Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790888238 PECOS PAC ID: 4284533183 Enrollment ID: O20040108000515 |
Entity Name | Oak Forest Psychological Service |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225209414 PECOS PAC ID: 6507762580 Enrollment ID: O20040326001218 |
Entity Name | Fitness Clinic Wellness |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912352022 PECOS PAC ID: 4486938719 Enrollment ID: O20240129002933 |
Mailing Address | Practice Location Address |
---|---|
Mr Leo W Lavender, 15912 Vine Ave, Harvey, IL 60426-5036 Ph: (773) 552-4120 | Mr Leo W Lavender, 15912 Vine Ave, Harvey, IL 60426-5036 Ph: (773) 552-4120 |
Tiara Banks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14507 Des Plaines St, Harvey, IL 60426 Phone: 708-674-8904 | |
Teresa Glaze-shields, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 235 W 154th Pl, Harvey, IL 60426 Phone: 708-922-9842 Fax: 708-922-9847 | |
Ms. Tanya Marie Rogers, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 174 E 154th St Ste 200, Harvey, IL 60426 Phone: 708-339-0040 Fax: 708-339-0290 | |
Ms. Emma Jean Rogers, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 174 E 154th St Ste 200, Harvey, IL 60426 Phone: 708-339-0040 Fax: 708-339-0290 | |
Ms. Latesha Lillie Newson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 | |
Eugenia V Whalen-robinson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 708-915-5417 |