Organization
LEEP FORWARD, P.C.
Active
Organization
LEEP FORWARD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORELL MARIN M.ED., LCSW, BCBA (CVO/OWNER)
(312) 624-8750
Entity
Organization
Contact information
Practice address
1447 W MONTROSE AVE, CHICAGO, IL 60613-1348
(312) 624-8750
Mailing address
1447 W MONTROSE AVE, CHICAGO, IL 60613-1348
(312) 624-8750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/18/2012
Last updated
03/17/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up