Candace Marie Leitheiser, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149017257 Issued in IL

Practice address

1200 N Ashland Ave
Suite 205
Chicago, IL 60622-2259

Phone

(312) 874-8198

NPI assigned

Jan 10, 2012

Last updated

Oct 13, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Branch Counseling and Wellness PC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1487024139
  Authorized official Same address or phone

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1154691988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ASHLAND AVE",
            "address_2": "SUITE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222259",
            "telephone_number": "312-874-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N ASHLAND AVE",
            "address_2": "SUITE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222259",
            "telephone_number": "312-874-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITHEISER",
        "first_name": "CANDACE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk R Leindecker, CRNA
• Elizabeth Seton Leinenweber, PA-S
• Mark Paul Leischner, M.D.
• Taylor Glen Shigeru Keoki Leisher
• Anne Bicket Leiter, MA. LCPC
• Caitlyn Elizabeth Leiva, MS, RD
• Gloria Leiva, OTR
• Orly Leiva Jr., MD
• Kristopher Leja, PHARMD
• Jessica Lejeune, DPT

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.