Mr Leo W Lavender, - Medicare Clinical Social Worker in Blue Island, IL

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Mr Leo W Lavender, is a medicare enrolled "Social Worker - Clinical" provider in Blue Island, Illinois. He graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Oak Forest Psychological Service and his current practice location is 13811 Western Ave, Blue Island, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 552-4120.

Mr Leo W Lavender is licensed to practice in Illinois (license number 149017079) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609255819.

Contact Information

Mr Leo W Lavender,
13811 Western Ave,
Blue Island, IL 60406-3228
(773) 552-4120
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Leo W Lavender
GenderMale
SpecialityClinical Social Worker
Experience13 Years
Location13811 Western Ave, Blue Island, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Leo W Lavender graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1609255819
  • Provider Enumeration Date: 05/20/2015
  • Last Update Date: 08/26/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6002129350
  • Enrollment ID: I20150716000912

Medical Identifiers

Medical identifiers for Mr Leo W Lavender such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609255819NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 149017079 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oak Forest Psychological Service65077625806

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Leo W Lavender allows following entities to bill medicare on his behalf.
Entity NameCook County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747
Entity NameOak Forest Psychological Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265487060
PECOS PAC ID: 6507762580
Enrollment ID: O20031210000634
Entity NameChristian Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790888238
PECOS PAC ID: 4284533183
Enrollment ID: O20040108000515
Entity NameOak Forest Psychological Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225209414
PECOS PAC ID: 6507762580
Enrollment ID: O20040326001218
Entity NameFitness Clinic Wellness
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912352022
PECOS PAC ID: 4486938719
Enrollment ID: O20240129002933

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Leo W Lavender is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Leo W Lavender,
15912 Vine Ave,
Harvey, IL 60426-5036

Ph: (773) 552-4120		Mr Leo W Lavender,
13811 Western Ave,
Blue Island, IL 60406-3228

Ph: (773) 552-4120

Reviews and Comments


Social Worker in Blue Island, IL

Ms. Juliet Ann Russom Walden, BS, AM, LSCW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 13136 Western Ave, Blue Island, IL 60406
Phone: 708-974-5800    
Amanda Keenan, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 3046 127th St, Blue Island, IL 60406
Phone: 708-377-7920    Fax: 708-930-0414
Kristen Hofman, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 13136 Western Ave, Blue Island, IL 60406
Phone: 708-974-5800    
Jessica Null, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 12331 Gregory St, Blue Island, IL 60406
Phone: 708-489-7338    
Mr. George Fay Henry Jr., LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 12311 Meadow Ln, Unit 1b, Blue Island, IL 60406
Phone: 312-504-5560    
Candace Clark,
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 13136 Western Ave, Blue Island, IL 60406
Phone: 708-974-5864    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.