Individual provider Active NPI

Cecila Chan Leong, LCSW

  • Clinical Social Worker
  • Mount Prospect, IL
National Provider Identifier
1003281882
Registry record updated Dec 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
148.000893 Issued in IL
Practice address
800 E Northwest Hwy
Suite 106B
Mount Prospect, IL 60056-3457
Phone
(847) 867-7924
Fax
(847) 299-4952
NPI assigned
Dec 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 148.000893 IL Primary

Addresses

Primary practice location

800 E Northwest Hwy
Suite 106B
Mount Prospect, IL 60056-3457

Mailing address

139 Happ Rd
Northfield, IL 60093-3413
Phone (773) 218-5322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
148.000893ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Home Psych Services, P.C. PastSince Mar 28, 2012 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449273600000",
    "number": "1003281882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 HAPP RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933413",
            "telephone_number": "773-218-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E NORTHWEST HWY",
            "address_2": "SUITE 106B",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563457",
            "telephone_number": "847-867-7924",
            "fax_number": "847-299-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN LEONG",
        "first_name": "CECILA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-05",
        "last_updated": "2015-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "148.000893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.