Individual provider Active NPI

Candice Beaton

  • Social Worker
  • Geneva, IL
National Provider Identifier
1225487168
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
64349 Issued in CA
Practice address
328 Chalmers St
Geneva, IL 60134-2805
Phone
(858) 480-6839
Fax
(858) 956-7236
NPI assigned
Jun 10, 2016
Last updated
Sep 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 64349 CA Primary

Addresses

Primary practice location

328 Chalmers St
Geneva, IL 60134-2805

Mailing address

1440 W Taylor St Ste 1410
Chicago, IL 60607-4623
Phone (858) 480-6839

Other practice location 1

2121 San Diego Ave
San Diego, CA 92110-2928
Phone (619) 497-8455

Other practice location 2

321 Hamilton St
Geneva, IL 60134-2148
Phone (630) 686-2282

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

LicenseStateTypeSpecialty
64349CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Action Consulting and Therapy, PLLC CurrentSince Feb 4, 2024 Accepting new patients

Locations

321 Hamilton St
Geneva, IL 60134
Phone (630) 464-4609

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1225487168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 W TAYLOR ST STE 1410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074623",
            "telephone_number": "858-480-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 CHALMERS ST",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342805",
            "telephone_number": "858-480-6839",
            "fax_number": "858-956-7236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 San Diego Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921102928",
            "country_code": "US",
            "telephone_number": "619-497-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 Hamilton St",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601342148",
            "country_code": "US",
            "telephone_number": "630-686-2282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEATON",
        "first_name": "CANDICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "64349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.