Individual provider Active NPI

Beatrice Marysia Pacyga, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1245898089
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149023254 Issued in IL
Practice address
10540 S Western Ave Ste 506
Chicago, IL 60643-2529
Phone
(872) 225-0302
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.103421 IL
Clinical Social Worker 1041C0700X 149023254 IL Primary

Addresses

Primary practice location

10540 S Western Ave Ste 506
Chicago, IL 60643-2529

Mailing address

10540 S Western Ave Ste 506
Chicago, IL 60643-2529
Phone (872) 225-0302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 30, 2022 through Mar 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.103421ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Always Blooming Counseling PLLC Clinical Current Accepting new patients

Locations

10540 S Western Ave
Ste 506
Chicago, IL 60643
Phone (773) 233-5520

10540 S Western Ave
Ste 208
Chicago, IL 60643
Phone (708) 406-9248

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1245898089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10540 S WESTERN AVE STE 506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432529",
            "telephone_number": "872-225-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 S WESTERN AVE STE 506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432529",
            "telephone_number": "872-225-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACYGA",
        "first_name": "BEATRICE",
        "middle_name": "MARYSIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.103421",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.