Healthcare Provider Details

I. General information

NPI: 1821190323
Provider Name (Legal Business Name): CANDACE ELIZABETH LEVERENZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

918 N WALNUT ST
DANVILLE IL
61832-3965
US

IV. Provider business mailing address

403 E ROSELAWN ST
DANVILLE IL
61832-2424
US

V. Phone/Fax

Practice location:
  • Phone: 217-443-1400
  • Fax: 217-443-4727
Mailing address:
  • Phone: 217-497-8506
  • Fax: 217-443-4727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number2069290
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: