Leon B Black, MSW LCSW CCBT CPTP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.005967 Issued in IL

Practice address

7210 East State Street, Suite 102
Rockford, IL 61108-1201

Phone

(815) 877-8567

Fax

(815) 877-8567

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Midwest Medical Institute S.C.

  • Family Medicine Physician
  • Rockford, IL
  • NPI 1811792419

  Single Specialty

  NPD (past)
• Withu Counseling Group LLC

  • Mental Health Counselor
  • Rockford, IL
  • NPI 1790447332

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1790793198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 E STATE ST STE 102",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082636",
            "telephone_number": "815-877-8567",
            "fax_number": "815-877-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 EAST STATE STREET, SUITE 102",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081201",
            "telephone_number": "815-877-8567",
            "fax_number": "815-877-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "LEON",
        "middle_name": "B",
        "credential": "MSW LCSW CCBT CPTP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.005967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10126810",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Birthkeeper & Beyond
• Donald C Bisby, DPM
• Carol Bitner, P.T.
• Linda Bjur, LCSW
• David A Black, PT, MS, OCS
• Megan Blackburn
• Blackhawk Fire Protection District
• Blackhawk Park School
• Michaela Rose Blackwell, PA-C
• Shawn Michael Bladel, DC

• All providers in Rockford, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.