Tracey Ben-Shalom, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015686 Issued in IL

Practice address

737 N Michigan Ave Ste 2130
Chicago, IL 60611-6747

Phone

(773) 789-9775

Fax

(312) 661-5235

NPI assigned

Oct 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Semillas Counseling PLLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1003278938
  NPD (past)

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1265908230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE STE 2130",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606116747",
            "telephone_number": "773-789-9775",
            "fax_number": "312-661-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE STE 2130",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606116747",
            "telephone_number": "773-789-9775",
            "fax_number": "312-661-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEN-SHALOM",
        "first_name": "TRACEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamar Ben-Ami, M.D.
• Remi Ben-Davies
• Olivia Ben-Levy
• Maya Ben-Shahar
• Sarah Clarke Ben-Shahar, LCSW, LMSW, JD
• Trevor C Ben
• Charles Steven Benain, RPH
• Anthony P Benard, DDS
• Alex Benaszeski, PT, DPT
• Alberto Benato, M.D.

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.