NPIMap

Organization Active NPI

Aging With Dignity LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1245894021
Registry record updated Apr 26, 2019
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Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AGING WITH DIGNITY LLC
Practice address
525 W Hawthorne PL Apt 3104
Chicago, IL 60657-2961
Phone
(847) 624-9235
NPI assigned
Apr 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Authorized official

Name
Denise Beaufait, LCSW, ACSW
Title
Principal
Phone
(847) 624-9235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

525 W Hawthorne PL Apt 3104
Chicago, IL 60657-2961

Mailing address

525 W Hawthorne PL Apt 3104
Chicago, IL 60657-2961

Other identifiers 1

IdentifierTypeStateIssuer
149.001031OtherILLICENSED CLINICAL SOCIAL WORKER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1245894021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W HAWTHORNE PL APT 3104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W HAWTHORNE PL APT 3104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572961",
            "telephone_number": "847-624-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING WITH DIGNITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "BEAUFAIT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "847-624-9235",
        "authorized_official_credential": "LCSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "149.001031",
            "state": "IL"
        }
    ],
    "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 Apr 26, 2019; 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.