Lesley Throneburg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149022682 Issued in IL

Practice address

511 Illinois Ave
Saint Charles, IL 60174-2152

Phone

(630) 549-6245

NPI assigned

Feb 18, 2021

Last updated

Mar 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1720671886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 KING JAMES AVE",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601747973",
            "telephone_number": "630-730-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 ILLINOIS AVE",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601742152",
            "telephone_number": "630-549-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRONEBURG",
        "first_name": "LESLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "149022682",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149022682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa M. Thompson, LCSW
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• Rebecca Thulson, MSN, FNP-BC
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• Holly Lynne Timmreck, PT, DPT
• Timothy W. Sheehan,LTD.
• Logan Tinsley

• Clinical Social Worker in St Charles, IL
• Providers in St Charles, 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 Mar 8, 2021; 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.