Beth Weinberg-Gordon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-004534 Issued in IL

Practice address

2011 N Knoxville Ave
Peoria, IL 61603-2414

Phone

(309) 687-7972

Fax

(309) 687-7999

NPI assigned

Nov 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1124457510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616032414",
            "telephone_number": "309-687-7972",
            "fax_number": "309-687-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616032414",
            "telephone_number": "309-687-7972",
            "fax_number": "309-687-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG-GORDON",
        "first_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-004534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tierra Lee Weglarz, DO
• Chia Wei, PHARMD
• Yifan Wei, DMD
• Brycie Weiden, PSY.D.
• David Christopher Weidner, PSY. D.
• Jesse M Weinger, MD
• Hank Weinstock, MD, MPH
• Brittany Nicole Weis, BS, RDN, LDN
• Caleb Michael Weiss
• Arakua Naa Korkoi Welbeck, MD

• Clinical Social Worker in Peoria, IL
• Providers in Peoria, 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 Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.