Individual provider Active NPI

Beth Levine, LCSW,JD

  • Clinical Social Worker
  • Wilmette, IL
National Provider Identifier
1457362220
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150008176 Issued in IL
Practice address
3545 Lake Ave
Suite 200
Wilmette, IL 60091-1058
Phone
(847) 251-7350
Fax
(847) 853-2600
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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 150008176 IL Primary

Addresses

Primary practice location

3545 Lake Ave
Suite 200
Wilmette, IL 60091-1058

Mailing address

428 Elder LN
Winnetka, IL 60093-4251
Phone (847) 446-6778

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
I20081120000829 IL Practitioner - Clinical Social Worker 6002976024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2530 Crawford Ave
Suite 219
Evanston, IL 60201-4959
Phone (847) 975-6778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
150008176ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beth M Levine LCSW LLC Clinical CurrentSince May 1, 2013 Accepting new patients
Family Service Center of Wilmette Glenview Northbrook Kenilworth Clinical PastSince Nov 15, 2011 Accepting new patients

Locations

2530 Crawford Ave
Ste 219
Evanston, IL 60201
Phone (847) 840-9719

Organizations & group practices 2

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1457362220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 ELDER LN",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600934251",
            "telephone_number": "847-446-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 LAKE AVE",
            "address_2": "SUITE 200",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911058",
            "telephone_number": "847-251-7350",
            "fax_number": "847-853-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LCSW,JD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150008176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

Verify at the official NPI Registry.