Individual provider Active NPI

Kristen Leman, LCSW

  • Clinical Social Worker
  • Goodfield, IL
National Provider Identifier
1265795835
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.015373 Issued in IL
Practice address
3 Legacy Ste 1
Goodfield, IL 61742-9676
Phone
(309) 306-2680
NPI assigned
Jun 19, 2012
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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 149.015373 IL Primary

Addresses

Primary practice location

3 Legacy Ste 1
Goodfield, IL 61742-9676

Mailing address

1185 County Road 700 N
Eureka, IL 61530-9316
Phone (309) 306-2680

Other practice location 1

1185 County Road 700 N
Eureka, IL 61530-9316
Phone (309) 306-2680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230130001040 IL Practitioner - Clinical Social Worker 2466823497 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Retreat Counseling Center PLLC Clinical CurrentSince Sep 13, 2022 Accepting new patients

Locations

3 Legacy
Ste 1
Goodfield, IL 61742
Phone (309) 306-2680

1407 W Front St
Ste B
Roanoke, IL 61561
Phone (309) 306-2680

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1265795835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 COUNTY ROAD 700 N",
            "city": "EUREKA",
            "state": "IL",
            "postal_code": "615309316",
            "telephone_number": "309-306-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LEGACY STE 1",
            "city": "GOODFIELD",
            "state": "IL",
            "postal_code": "617429676",
            "telephone_number": "309-306-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1185 County Road 700 N",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "IL",
            "postal_code": "615309316",
            "country_code": "US",
            "telephone_number": "309-306-2680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMAN",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodfield, IL

Sources for this page

Verify at the official NPI Registry.