Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Bobby Joe Leebold, LCSW

Individual provider Clinical Social Worker · NPI 1164728127

Mr. Bobby Joe Leebold, LCSW is a Clinical Social Worker in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

808 S Eldorado Rd Ste 102
Bloomington, IL 61704-6071
Phone: (309) 310-4636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149-013270 (IL)

Record details

NPI number1164728127
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 8, 2011
Last updated in NPPESFebruary 8, 2011

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