Individual provider Active NPI

Leana Lopez-Cepero, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1912773607
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.019123 Issued in IL
Practice address
4118 N Avers Ave
Chicago, IL 60618-1904
Phone
(907) 268-7978
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 149.019123 IL
Clinical Social Worker 1041C0700X 149.019123 IL Primary

Addresses

Primary practice location

4118 N Avers Ave
Chicago, IL 60618-1904

Mailing address

4118 N Avers Ave
Chicago, IL 60618-1904
Phone (907) 268-7978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.019123ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Flex Therapy PLLC Clinical CurrentSince Aug 4, 2024 Accepting new patients

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": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1912773607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 N AVERS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181904",
            "telephone_number": "907-268-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 N AVERS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181904",
            "telephone_number": "907-268-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-CEPERO",
        "first_name": "LEANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149.019123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.