MEDICARE: MALINDA SUE LEHMAN MHP, LSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	150.119073	IL

General Provider Information

NPI Number	:	1154273852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALINDA SUE LEHMAN MHP, LSW

Provider Business Mailing Address
First Line	:	704 W METZEN ST
Second Line	:
City	:	HARVARD
State	:	IL
Zip	:	60033-2644
Country	:	US
Telephone Number	:	779-247-9967
Fax Number	:

Provider Business Practice Location Address
First Line	:	422 TRACY CT
Second Line	:
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014-6288
Country	:	US
Telephone Number	:	888-928-0144
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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