Leticia Boughton Price

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.027076 Issued in IL

Practice address

10331 S Forest Ave
Chicago, IL 60628-2816

Phone

(773) 317-5571

NPI assigned

Dec 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1366250508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11033 S STATE ST UNIT 286126",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284379",
            "telephone_number": "773-317-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10331 S FOREST AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606282816",
            "telephone_number": "773-317-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUGHTON PRICE",
        "first_name": "LETICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.027076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meriem Elsayed Boufetta I, MS
• Karina J Bouffard, M.D.
• Fatima Bouftas
• Jay Boughanem, MD
• Ryan Keith Bougher, PHARMD
• Sofia Bougioukli, MD
• Airiel Dior Bouie, MD
• Kiah Nicole Bouie, MA, BCBA
• Hamid Bouiri, PHARM.D
• Nikoleta Ninette Boukydis, CLINCAL PSYCHOLOGIST

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.