Provider Demographics
NPI:1538030937
Name:FRITTS, LEIGH (LICENSED SOCIAL WORK)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:FRITTS
Suffix:
Gender:F
Credentials:LICENSED SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24937 W AMBROSE RD
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-6703
Mailing Address - Country:US
Mailing Address - Phone:331-444-2618
Mailing Address - Fax:844-802-2872
Practice Address - Street 1:1717 PARK ST STE 190
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-6713
Practice Address - Country:US
Practice Address - Phone:331-444-2618
Practice Address - Fax:844-802-2872
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0301101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical