Individual provider Active NPI

Timara D Betts

  • Social Worker
  • Chicago, IL
National Provider Identifier
1467068593
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1 N Dearborn St # 100
Chicago, IL 60602-4331
Phone
(708) 216-0372
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

1 N Dearborn St # 100
Chicago, IL 60602-4331

Mailing address

2824 142ND PL
Blue Island, IL 60406-4190
Phone (708) 466-7600

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
I20220617000458 IL Practitioner - Clinical Social Worker 3173902335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anxiety and Stress Center PCGroup PAC ID 9032299474, 7 clinicians

Practice addresses (Care Compare)

18161 Morris Ave
Suite 102
Homewood, IL 60430-2140
Phone (708) 349-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anxiety and Stress Center, P.C. CurrentSince Mar 10, 2022 Accepting new patients

Locations

18161 Morris Ave
Ste 102
Homewood, IL 60430
Phone (708) 349-5433

15030 S Ravinia Ave
Ste 32
Orland Park, IL 60462
Phone (708) 349-5433

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1467068593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 142ND PL",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604064190",
            "telephone_number": "708-466-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N DEARBORN ST # 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024331",
            "telephone_number": "708-216-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTS",
        "first_name": "TIMARA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.