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MR. LEO W LAVENDER
NPI 1609255819
Social Worker - Clinical in Blue Island, IL

Active since May 20, 2015PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
13811 WESTERN AVE, BLUE ISLAND, IL 60406(773) 552-4120 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Leo W Lavender NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LEO W LAVENDER (NPI 1609255819) is an individual clinical provider in Blue Island, Illinois, licensed in Illinois (149017079) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1609255819
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. LEO W LAVENDER
Location Address13811 WESTERN AVEBlue Island, IL 60406-3228
Mailing Address15912 Vine AveHarvey, IL 60426-5036 · (773) 552-4120
Phone(773) 552-4120
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 20, 2015
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1609255819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149017079
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
13811 WESTERN AVE, Blue Island, IL 60406
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Leo W Lavender is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002129350
PECOS Enrollment IDI20150716000912
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
608 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

I CAN HEAR U NOW INC
Clinic/Center (Adolescent and Children Mental Health)
13811 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (773) 552-4120
UNLIMITED POTENTIAL, NFP
Clinic/Center (Mental Health (Including Community Mental Health Center))
13811 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 954-0123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leo Lavender's NPI number?

The NPI number for Leo Lavender is 1609255819. It was assigned to this individual provider in the NPPES registry on May 20, 2015.

Where is Leo Lavender located?

Leo Lavender practices at 13811 Western Ave, Blue Island, IL 60406. The listed phone number is (773) 552-4120.

What is Leo Lavender's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Leo Lavender enrolled in Medicare?

Yes. Leo Lavender is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Leo Lavender accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Leo Lavender as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leo Lavender was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.