Individual provider Active NPI

Leanna Schneider, LCSW

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1548614969
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.018321 Issued in IL
Practice address
2530 Crawford Ave Ste 207
Evanston, IL 60201-4959
Phone
(847) 440-4371
Fax
(224) 278-1205
NPI assigned
Apr 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 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 149.018321 IL Primary

Addresses

Primary practice location

2530 Crawford Ave Ste 207
Evanston, IL 60201-4959

Mailing address

920 Woodland Dr
Wheeling, IL 60090-3933
Phone (847) 400-7831

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
I20230501001371 IL Practitioner - Clinical Social Worker 2163887951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2530 Crawford Ave
Suite 207
Evanston, IL 60201-4959
Phone (847) 400-7831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.018321ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Leanna Schneider Psychotherapy LTD Clinical CurrentSince Mar 15, 2023 Accepting new patients

Locations

2530 Crawford Ave
Ste 207
Evanston, IL 60201
Phone (847) 400-7831

1167 Wilmette Ave
Fl 2
Wilmette, IL 60091

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.

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1548614969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 WOODLAND DR",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903933",
            "telephone_number": "847-400-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CRAWFORD AVE STE 207",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014959",
            "telephone_number": "847-440-4371",
            "fax_number": "224-278-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "LEANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.