Individual provider Active NPI

Leah Catherine Renfro, MSW, LCSW

  • Social Worker
  • Burr Ridge, IL
National Provider Identifier
1831440429
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33006380A Issued in IN
Practice address
200 S Frontage Rd Ste 320
Burr Ridge, IL 60527-6953
Phone
(630) 423-5998
NPI assigned
Sep 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33006380A IN Primary

Addresses

Primary practice location

200 S Frontage Rd Ste 320
Burr Ridge, IL 60527-6953

Mailing address

4521 Belmont Rd
Downers Grove, IL 60515-2504
Phone (708) 642-2001

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://restoringwellness-clinical.com/ Direct

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

LicenseStateTypeSpecialty
33006380AINMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Restoring Wellness Clinical Services, PLLC CurrentSince Jul 25, 2021 Accepting new patients

Locations

200 S Frontage Rd
Ste 320
Burr Ridge, IL 60527
Phone (630) 337-8006

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": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1831440429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 BELMONT RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152504",
            "telephone_number": "708-642-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S FRONTAGE RD STE 320",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276953",
            "telephone_number": "630-423-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENFRO",
        "first_name": "LEAH",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33006380A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://restoringwellness-clinical.com/",
            "affiliation": "N",
            "endpointDescription": "Restoring Wellness Clinical Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 S Frontage Rd Ste 320",
            "city": "Burr Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605276953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.