Individual provider · Type 1 NPI

Leo W. Lavender

Clinical Social Worker · Blue Island, IL

NPI number 1609255819 Active

Practice location

13811 Western Ave
Blue Island, IL 60406-3228

Mailing address

15912 Vine Ave
Harvey, IL 60426-5036

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149017079 (IL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1609255819

Leo W. Lavender's National Provider Identifier is 1609255819, issued on May 20, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Blue Island, IL. The record was last updated on Aug 26, 2025.