Angela Christine Leeser, MSW, LCSW
Individual provider Active NPI Social Worker · Pingree Grove, IL
NPI 1821354879 · NPPES record last updated Apr 4, 2012
Key facts
- NPI
- 1821354879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 149.011504 (IL)
- Practice address
- 1125 Wester Blvd
Pingree Grove, IL 60140-2044 - Phone
- (773) 616-4310
- Fax
- (866) 209-6747
- NPI assigned
- Apr 4, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.011504 | IL | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 149.011504 | IL | Yes |
Addresses
Primary practice location
1125 Wester Blvd
Pingree Grove, IL 60140-2044
Mailing address
P.O. Box 511
Hampshire, IL 60140-0511
Phone (773) 616-4310
Other providers in Pingree Grove, IL
- Jigpiyu Dental LLC
- Jump for Joy Therapy Services Inc
- Kish Optical Inc.
- Mary Sue Kruchten
- Gina Lawrence
- Katherine Lynn Leiva
- Isabella Malek
- Medride LLC
- Rebecca Ann Mensching
- Dianne Joy Mindac
All providers in Pingree Grove, IL · Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.