Provider Demographics
NPI:1548614969
Name:SCHNEIDER, LEANNA (LCSW)
Entity Type:Individual
Prefix:
First Name:LEANNA
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-3933
Mailing Address - Country:US
Mailing Address - Phone:847-400-7831
Mailing Address - Fax:
Practice Address - Street 1:2530 CRAWFORD AVE STE 207
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4959
Practice Address - Country:US
Practice Address - Phone:847-440-4371
Practice Address - Fax:224-278-1205
Is Sole Proprietor?:No
Enumeration Date:2016-04-21
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0183211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical