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

Mr. Leo W Lavender

Individual provider Clinical Social Worker · NPI 1609255819

Mr. Leo W Lavender is a Clinical Social Worker in Blue Island, Illinois. Qualified in 2012, 14 years ago. Practices with Oak Forest Psychological Service, a 7-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2015
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Practice location Address checks out

13811 Western Ave
Blue Island, IL 60406-3228
Phone: (773) 552-4120
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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 149017079 (IL)

Record details

NPI number1609255819
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 20, 2015
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025
Mailing address15912 Vine Ave, Harvey, IL 60426-5036

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Oak Forest Psychological Service — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Blue Island