Active NPI
Leslie Jean Duff, L.C.S.W
- Clinical Social Worker
- Glen Ellyn, IL
National Provider Identifier
1447593090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149014634
- Practice address
- 460 N Main St
Suite 205
Glen Ellyn, IL 60137-5176 - Phone
- (847) 845-5698
- NPI assigned
- Apr 2, 2013
- Last updated
- Jul 31, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149014634 | IL | Primary |
Addresses
Primary practice location
460 N Main St
Suite 205
Glen Ellyn, IL 60137-5176
Mailing address
622 Glendale Ave
Glen Ellyn, IL 60137-4930
Phone (847) 845-5698
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 |
|---|---|---|---|
| 149014634 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leslie Duff Therapy 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, 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": "1364860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1447593090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 GLENDALE AVE",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601374930",
"telephone_number": "847-845-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 N MAIN ST",
"address_2": "SUITE 205",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601375176",
"telephone_number": "847-845-5698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFF",
"first_name": "LESLIE",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "L.C.S.W",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-02",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149014634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.