Individual provider Active NPI

Leila Mowers, LCSW

  • Social Worker
  • Crete, IL
National Provider Identifier
1902815418
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
149.004361 Issued in IL
Practice address
1321 Main St
Crete, IL 60417
Phone
(708) 275-4200
NPI assigned
Aug 5, 2006
Last updated
Aug 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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 149.004361 IL Primary

Addresses

Primary practice location

1321 Main St
Crete, IL 60417

Mailing address

1245 Main St
Crete, IL 60417-2119
Phone (708) 275-4200

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
I20060203000336 IL Practitioner - Clinical Social Worker 3678587110 Practice locations: Matteson, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1245 Main St
Crete, IL 60417-2119

3624 W 216TH St
Matteson, IL 60443-2713
Phone (708) 672-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.004361ILMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1902815418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 MAIN ST",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604172119",
            "telephone_number": "708-275-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 MAIN ST",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "60417",
            "telephone_number": "708-275-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWERS",
        "first_name": "LEILA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149.004361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crete, IL

Sources for this page

Verify at the official NPI Registry.