Active NPI
Neal Leatherman, L.C.S.W.
- Clinical Social Worker
- Naperville, IL
National Provider Identifier
1265651665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.010693
- Practice address
- 445 W Jackson Ave
Suite 205
Naperville, IL 60540-5256 - Phone
- (630) 768-9608
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- 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 | 149.010693 | IL | Primary |
Addresses
Primary practice location
445 W Jackson Ave
Suite 205
Naperville, IL 60540-5256
Mailing address
445 W Jackson Ave
Suite 205
Naperville, IL 60540-5256
Phone (630) 768-9608
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 |
|---|---|---|---|
| 149.010693 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLD Clinical Associates, LLC | Clinical | Past | 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.
-
- Clinical Social Worker
- Naperville, IL
- NPI 1790946630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214092800000",
"number": "1265651665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 W JACKSON AVE",
"address_2": "SUITE 205",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605405256",
"telephone_number": "630-768-9608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 W JACKSON AVE",
"address_2": "SUITE 205",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605405256",
"telephone_number": "630-768-9608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEATHERMAN",
"first_name": "NEAL",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2008-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.010693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.