Rebecca Beaulieu, LCSW
Individual provider Active NPI Clinical Social Worker · Chicago, IL
NPI 1114548716 · NPPES record last updated May 5, 2020
Key facts
- NPI
- 1114548716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149021858 (IL)
- Practice address
- 150 E Huron St FL 8
Chicago, IL 60611-2999 - Phone
- (312) 964-4702
- NPI assigned
- May 5, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149021858 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Becky Beaulieu Therapy PLLC | Clinical | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149021858 | IL | Yes |
Addresses
Primary practice location
150 E Huron St FL 8
Chicago, IL 60611-2999
Mailing address
150 E Huron St FL 12
Chicago, IL 60611-2999
Phone (312) 964-4702
Other providers in Chicago, IL
- Heather Beaudoin
- Pamela Beauduy
- Denise Colette Beaufait
- Heather Beaugard
- Julianne Eve Beaulieu
- Stephanie A Beaulieu
- Beautiful Beginnings, Happy Endings LLC
- Beautiful Minds Counseling PLLC
- Beauty Dental Inc
- Jenaye Beavers
All providers in Chicago, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.