MS. LESLIE DIANE REAMBEAULT


Address: 5115 N Ravenswood Ave, Second Floor, Chicago, IL 60640-2712
Phone: 7732305109

MS. LESLIE DIANE REAMBEAULT (NPI# 1295830297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295830297
Entity Type Individual
Full Name MS. LESLIE DIANE REAMBEAULT
Credential MSW
Practice Address 5115 N Ravenswood Ave
Second Floor
Chicago
IL 60640-2712
Practice Telephone 7732305109
Practice Fax Number 7732751494
Mailing Telephone 7732305109
Mailing Fax Number 7732751494
Enumeration Date 2006-09-14
Last Update Date 2009-01-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
149008906 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL BCBS IL 01627003 01
IL VMC 021185 01

Office Location

Street Address 5115 N RAVENSWOOD AVE
SECOND FLOOR
City CHICAGO
State IL
Zip Code 60640-2712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366937583 Lauren Ashley Caccamo Social Worker 5115 N Ravenswood Ave, Chicago, IL 60640-2712 2018-06-29
1639627318 Pranajaya Social Worker 5115 N Ravenswood Ave, Second Floor, Chicago, IL 60640-2712 2016-09-12
1184012841 Eric Rothgeb Acupuncturist 5115 N Ravenswood Ave, 2nd Fl, Chicago, IL 60640-2712 2015-01-05
1710375688 Gregory D. Bell Acupuncturist 5115 N Ravenswood Ave, 2nd Floor, Chicago, IL 60640-2712 2014-12-30
1174965263 Andrea Marie Lee Acupuncturist 5115 N Ravenswood Ave, Chicago, IL 60640-2712 2013-07-18
1861624900 Kyla Boles Acupuncturist 5115 N Ravenswood Ave, Chicago, IL 60640-2712 2009-08-21
1568621241 Simon Lee Acupuncturist 5115 N Ravenswood Ave, Chicago, IL 60640-2712 2008-06-06

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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

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Competitor

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City CHICAGO
Zip Code 60640

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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