Beth Ilanna Kibort, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.012596 Issued in IL

Practice address

4822 N Broadway St
2ND Floor
Chicago, IL 60640-3604

Phone

(773) 433-1200

NPI assigned

Apr 22, 2011

Last updated

Apr 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1326339524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 FARNSWORTH LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625921",
            "telephone_number": "312-515-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 N BROADWAY ST",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403604",
            "telephone_number": "773-433-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBORT",
        "first_name": "BETH",
        "middle_name": "ILANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasaman Kianirad, M.D.
• Rahab Wanjiru Kiarie
• Kias Heart & Grace
• Carle Kibbit, DDS
• Kendra Kibble, MD
• Fikir Kibret, MD
• Jacob Paul Kibrit, M.D.
• Ilona A Kichko, M.D.
• Jennifer E Kick, DPT
• Jessica Erin Kick, M.ED.

• 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 22, 2011; 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.