Individual provider Active NPI

Alissa Burke Leoni, SW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1356032247
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.024262 Issued in IL
Practice address
2107 W Berwyn Ave Apt 1W
Chicago, IL 60625-1146
Phone
(630) 544-0133
NPI assigned
May 19, 2023
Last updated
May 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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 149.024262 IL Primary

Addresses

Primary practice location

2107 W Berwyn Ave Apt 1W
Chicago, IL 60625-1146

Mailing address

2107 W Berwyn Ave Apt 1W
Chicago, IL 60625-1146
Phone (630) 544-0133

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

LicenseStateTypeSpecialty
149.024262ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alissa Burke Leoni, PLLC CurrentSince May 21, 2023 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, 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": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1356032247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 W BERWYN AVE APT 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251146",
            "telephone_number": "630-544-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 W BERWYN AVE APT 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251146",
            "telephone_number": "630-544-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONI",
        "first_name": "ALISSA",
        "middle_name": "BURKE",
        "credential": "SW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024262",
            "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 May 19, 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.

Verify at the official NPI Registry.