LENITA W GARDNER CRSS,CHW
NPI 1184440273
Peer Specialist in Richton Park, IL
- Individual
- Female
- Peer Specialist
About LENITA GARDNER
This page provides the complete NPI Profile along with additional information for Lenita Gardner, a provider established in Richton Park, Illinois with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1184440273 assigned on November 2024. The practitioner's primary taxonomy code is 175T00000X with license number 38624 (IL). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1184440273 Verify this NPI
- Provider Name
- LENITA W GARDNER CRSS,CHW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3901 TOWER DR # B301 RICHTON PARK, IL 60471
- Location Phone
- (312) 200-4288
- Mailing Address
- 3901 TOWER DR # B301 RICHTON PARK, IL 60471
- Mailing Phone
- (312) 200-4288
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-23-2024
- Last Update Date
- 12-30-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- 38624
- License State
- IL
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 172V00000X | Other Service Providers | Community Health Worker | (IL) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184440273, enumerated as an "individual" on November 23, 2024.
The provider is located at 3901 TOWER DR # B301 RICHTON PARK, IL 60471 and the phone number is (312) 200-4288.
Peer Specialist with taxonomy code 175T00000X.
