Individual provider Active NPI

Maxwell Newson Beshers, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1447619028
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149018260 Issued in IL
Practice address
2542 W North Ave
Chicago, IL 60647-5216
Phone
(217) 390-4754
NPI assigned
Feb 11, 2016
Last updated
Feb 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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 149018260 IL Primary

Addresses

Primary practice location

2542 W North Ave
Chicago, IL 60647-5216

Mailing address

2542 W North Ave
Chicago, IL 60647-5216
Phone (217) 390-4754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170105000389 IL Practitioner - Clinical Social Worker 6305127341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3701 N Ravenswood Ave
Suite 303
Chicago, IL 60613-3878
Phone (217) 390-4754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beshers Psychotherapy Services, LTD Clinical CurrentSince Sep 1, 2019 Accepting new patients

Locations

3701 N Ravenswood Ave
Ste 303
Chicago, IL 60613
Phone (217) 390-4754

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1447619028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475216",
            "telephone_number": "217-390-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475216",
            "telephone_number": "217-390-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESHERS",
        "first_name": "MAXWELL",
        "middle_name": "NEWSON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.