Provider Demographics
NPI:1205498573
Name:BUCHER, LEITH ELAN (LCSW)
Entity type:Individual
Prefix:MS
First Name:LEITH
Middle Name:ELAN
Last Name:BUCHER
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 1:305 E ROSALIND AVE
Mailing Address - Street 2:
Mailing Address - City:PEORIA HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:61616-5152
Mailing Address - Country:US
Mailing Address - Phone:815-677-3351
Mailing Address - Fax:
Practice Address - Street 1:VA ILLIANA HEALTHCARE SYSTEM
Practice Address - Street 2:1900 EAST MAIN STREET
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832
Practice Address - Country:US
Practice Address - Phone:309-589-6800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490132841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical