Mary Rene Leonhardt

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.103802 Issued in IL

Practice address

6006 159TH St BLDG C
Oak Forest, IL 60452-2904

Phone

(708) 535-7320

NPI assigned

Aug 26, 2019

Last updated

Aug 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Genesis Therapy Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oak Forest, IL
  • NPI 1447264890

  Multi-Specialty

  Medicare reassignment NPD
• The Genesis Therapy Center

  • Community/Behavioral Health Agency
  • Oak Forest, IL
  • NPI 1891020137
  NPD

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1093363830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15119 CATALINA DR APT 2NW",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604628811",
            "telephone_number": "708-285-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 159TH ST BLDG C",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522904",
            "telephone_number": "708-535-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONHARDT",
        "first_name": "MARY",
        "middle_name": "RENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.103802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Kaitlyn Labash, LCSW
• Zaia Ishaq Lachin, MD
• Mary T Lake, SLP
• Barbara Lynn Lange, DPM
• Harrison Leibow
• Philip James Levoy, D.D.S.
• Kristen E Licata, M.S., CCC-SLP/L
• Lighthouse Wellness Centers
• Joanne Marie Linane, OTR/L
• Heather Lindenberg

• Social Worker in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.