Scott William Beckley, LCSW CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.024394 Issued in IL

Practice address

650 N Dearborn St
Chicago, IL 60654-3873

Phone

(847) 780-6459

NPI assigned

Jun 24, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 30, 2026 through Jan 30, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662163200000",
    "number": "1093331068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543873",
            "telephone_number": "847-780-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543873",
            "telephone_number": "847-780-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKLEY",
        "first_name": "SCOTT",
        "middle_name": "WILLIAM",
        "credential": "LCSW CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2022-09-03",
        "certification_date": "2022-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "36009",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.104126",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noa Beckham-Chasnoff
• Victoria Jean Becklen, MD
• Amy M Becklenberg, APN
• Jasmine Beckles
• Steven Beckless
• Angela Beckman, LCPC
• Douglas Eugene Beckman, MD
• Loretta Beckman
• Nancy J Beckman, PH.D.
• Anna Katharina Beckmann, MD

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.