Individual provider Active NPI

Becky Cortesi Caruso, LSW

  • Clinical Social Worker
  • Frankfort, IL
National Provider Identifier
1265154132
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150107413 Issued in IL
Practice address
20635 Abbey Woods CT N Ste 209
Frankfort, IL 60423-3188
Phone
(815) 640-1669
NPI assigned
Sep 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 150107413 IL Primary

Addresses

Primary practice location

20635 Abbey Woods CT N Ste 209
Frankfort, IL 60423-3188

Mailing address

20635 Abbey Woods CT N Ste 209
Frankfort, IL 60423-3188
Phone (815) 640-1669

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
150107413ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harvey Martin & Associates Inc. CurrentSince Sep 20, 2022 Accepting new patients

Locations

20635 Abbey Woods Ct N
Ste 209
Frankfort, IL 60423
Phone (815) 464-8577

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": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1265154132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20635 ABBEY WOODS CT N STE 209",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233188",
            "telephone_number": "815-640-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20635 ABBEY WOODS CT N STE 209",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233188",
            "telephone_number": "815-640-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTESI CARUSO",
        "first_name": "BECKY",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150107413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.