Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LEO W LAVENDER
Active Sole ProprietorMR. LEO W LAVENDER is a Clinical Social Worker healthcare provider located in BLUE ISLAND, Illinois. NPI 1609255819 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BLUE ISLAND, IL
Registration Details
- NPI Number
- 1609255819
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2015 (11.05132345702 yrs)
- Last Updated
- Aug 26, 2025
- License
-
149017079 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13811 WESTERN AVEBLUE ISLAND, IL, 604063228Browse IL providers · Browse ZIP 60406
- Phone
- 7735524120
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BLUE ISLAND, IL
| Name | Credential | NPI |
|---|---|---|
| MR. GEORGE FAY HENRY JR. | LCSW | 1548220262 |
| KRISTINE LYNCH | LCSW | 1063703999 |
| MS. JULIET ANN RUSSOM WALDEN | BS, AM, LSCW | 1154614634 |
| KRISTEN HOFMAN | LCSW | 1487075768 |
| JACQUELINE SCARBOROUGH AIKERSON | — | 1861804353 |
| JESSICA NULL | LCSW | 1538682398 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.