MR. LEO W LAVENDER – Clinical Social Worker, NPI 1609255819

MR. LEO W LAVENDER is a healthcare provider. based in Harvey, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 149017079 (IL). The NPI Number for MR. LEO W LAVENDER is 1609255819

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. LEO W LAVENDER
NPI
1609255819
Phone
(773) 552-4120
Address
15912 VINE AVE
Enumeration Date
20 May 2015
Last Update Date
26 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7087542220
Graduation Year
2012 (14 years ago)
PAC ID
6002129350
Group Practice PAC ID
6507762580
Professional Enrollment ID
I20150716000912
Address ID
IL604112002CH160XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for MR. LEO W LAVENDER

  • 15912 VINE AVE

    HARVEY, IL 604265036

    Phone: (773) 552-4120

    Type: Location

  • 13811 WESTERN AVE

    BLUE ISLAND, IL 604063228

    Phone: (773) 552-4120

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150716000912IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes61634$0
View full utilization report →

Insurance plans in this area (ZIP 60426)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507762580View full group profile
NameSpecialtyState
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical PsychologistIL
Clinical PsychologistIL
Clinical PsychologistIL
-IL

Reviews

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Frequently asked questions

Is MR. LEO W LAVENDER listed with a National Provider Identifier?
Yes — MR. LEO W LAVENDER has NPI 1609255819 on file in the registry.
Is there an active status for MR. LEO W LAVENDER?
For scheduling context, MR. LEO W LAVENDER is shown as active in the registry.
What expertise is attributed to MR. LEO W LAVENDER?
MR. LEO W LAVENDER's specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. LEO W LAVENDER?
Travel planning: use Harvey, Illinois as the reference point for MR. LEO W LAVENDER, then confirm.
Can I trust this NPI listing for MR. LEO W LAVENDER?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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