Organization Active NPI

Leslie Duff Therapy PLLC

  • Clinical Social Worker
  • Glen Ellyn, IL
National Provider Identifier
1245983394
Registry record updated Jan 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LESLIE DUFF THERAPY PLLC
Practice address
488 N Main St Apt 2N
Glen Ellyn, IL 60137-5126
Phone
(847) 845-5698
NPI assigned
Jan 29, 2022
Organization subpart
Yes
Parent organization
LESLIE DUFF THERAPY PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2022

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

Authorized official

Name
Leslie Duff, LCSWNPI 1447593090
Title
Therapist
Phone
(847) 845-5698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

488 N Main St Apt 2N
Glen Ellyn, IL 60137-5126

Mailing address

488 N Main St Apt 2N
Glen Ellyn, IL 60137-5126

Other names 1

  • Blue Bird Therapy Doing business as

National Provider Directory

National Provider Directory
Part of
Leslie Duff Therapy PLLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643414400000",
    "number": "1245983394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 N MAIN ST APT 2N",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 N MAIN ST APT 2N",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375126",
            "telephone_number": "847-845-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE DUFF THERAPY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LESLIE DUFF THERAPY PLLC",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A",
        "authorized_official_last_name": "DUFF",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "847-845-5698",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Bird Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; 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.