Active NPI
Leah Goodman, LCSW, OTR/L
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1255723847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.028134
- Practice address
- 1806 W Cuyler Ave Ste 3E
Chicago, IL 60613-2541 - Phone
- (773) 236-7878
- NPI assigned
- Feb 19, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.110732 | IL | |
| Occupational Therapist | 225X00000X | 056.011733 | IL | |
| Clinical Social Worker | 1041C0700X | 149.028134 | IL | Primary |
Addresses
Primary practice location
1806 W Cuyler Ave Ste 3E
Chicago, IL 60613-2541
Mailing address
1806 W Cuyler Ave Ste 3E
Chicago, IL 60613-2541
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 |
|---|---|---|---|
| 150.110732 | IL | MD | Social Worker |
| 149.028134 | IL | MD | Clinical Social Worker |
| 056.011733 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helioco PLLC | Clinical | Current | Accepting new patients |
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": "1424304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1255723847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 W CUYLER AVE STE 3E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 W CUYLER AVE STE 3E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132541",
"telephone_number": "773-236-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "LEAH",
"name_prefix": "Dr.",
"credential": "LCSW, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-19",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.110732",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.011733",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.028134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.