Active NPI
Natasha Kimberly Beals, LSW
- Social Worker
- Chicago, IL
National Provider Identifier
1205550720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.109032
- Practice address
- 1323 E 50TH St Ste 1009
Chicago, IL 60615-2905 - Phone
- (312) 566-1702
- NPI assigned
- Sep 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.109032 | IL | Primary |
Addresses
Primary practice location
1323 E 50TH St Ste 1009
Chicago, IL 60615-2905
Mailing address
10212 S Van Vlissingen Rd
Chicago, IL 60617-5639
Phone (708) 495-4236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.109032 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1205550720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10212 S VAN VLISSINGEN RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606175639",
"telephone_number": "708-495-4236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 E 50TH ST STE 1009",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606152905",
"telephone_number": "312-566-1702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEALS",
"first_name": "NATASHA",
"middle_name": "KIMBERLY",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-28",
"last_updated": "2022-09-28",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.109032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.