Maciej Jakub Bielaczyc, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149016021 Issued in IL

Practice address

676 N Saint Clair St Ste 1400
Chicago, IL 60611-2951

Phone

(312) 926-0313

Fax

(312) 695-5864

NPI assigned

Mar 17, 2020

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1275169732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 1400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112951",
            "telephone_number": "312-926-0313",
            "fax_number": "312-695-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 1400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112951",
            "telephone_number": "312-926-0313",
            "fax_number": "312-695-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIELACZYC",
        "first_name": "MACIEJ",
        "middle_name": "JAKUB",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Bieda
• Konrad E Biedron, PSY.D.
• Sarah Biehl, MS, LCPC
• Alexsandra Biel, MD
• Spencer Elliott Biel, PSY.D.
• Katarzyna Bielak
• Jessica R Bielanski Peterson, M.A., CCC-SLP
• Thomas A Bielawiec, MD
• Nancy Bielawski, LCPC
• Michelle Bielecki

• 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 Mar 17, 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.