Individual provider Active NPI

Chandler K Ledray, LCSW

  • Clinical Social Worker
  • Oak Park, IL
National Provider Identifier
1174249452
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.021560 Issued in IL
Practice address
1024 North Blvd Ste 207
Oak Park, IL 60301-1149
Phone
(708) 792-2990
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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 149.021560 IL Primary

Addresses

Primary practice location

1024 North Blvd Ste 207
Oak Park, IL 60301-1149

Mailing address

225 N Grove Ave Apt 2
Oak Park, IL 60302-2042
Phone (407) 227-6684

Other practice location 1

60 Revere Dr Ste 100
Northbrook, IL 60062-1590
Phone (224) 306-1879

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
149.021560ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chandler Ledray, LCSW, PLLC Clinical CurrentSince Feb 8, 2023 Accepting new patients

Locations

60 Revere Dr
Ste 100
Northbrook, IL 60062
Phone (224) 306-1879

1024 North Blvd
Ste 207
Oak Park, IL 60301
Phone (708) 334-2222

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1174249452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N GROVE AVE APT 2",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022042",
            "telephone_number": "407-227-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 NORTH BLVD STE 207",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011149",
            "telephone_number": "708-792-2990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Revere Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600621590",
            "country_code": "US",
            "telephone_number": "224-306-1879",
            "fax_number": "224-306-1878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDRAY",
        "first_name": "CHANDLER",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.