Provider Demographics
NPI:1578573853
Name:BARRIGA, LEONARDO (LCSW)
Entity Type:Individual
Prefix:MR
First Name:LEONARDO
Middle Name:
Last Name:BARRIGA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2408 W RICE ST
Mailing Address - Street 2:#303
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-5210
Mailing Address - Country:US
Mailing Address - Phone:773-425-6234
Mailing Address - Fax:
Practice Address - Street 1:1000 N MILWAUKEE AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642-4000
Practice Address - Country:US
Practice Address - Phone:312-601-9970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490109791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001635991OtherBCBS IL PROVIDER