Active NPI
Chandler K Ledray, LCSW
- Clinical Social Worker
- Oak Park, IL
National Provider Identifier
1174249452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.021560
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 149.021560 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chandler Ledray, LCSW, PLLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Oak Park, IL
- NPI 1538871561
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.