Samuel Adam Budyszewick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.019007 Issued in IL

Practice address

2302 W North Ave Ste 1E
Chicago, IL 60647-9755

Phone

(312) 623-3260

NPI assigned

Nov 17, 2018

Last updated

Nov 17, 2018By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clarity Clinic PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1063803856

  Clinical

  Medicare reassignment NPD
• Clarity Clinic Arlington Heights, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arlington Heights, IL
  • NPI 1104341999
  NPD

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

{
    "created_epoch": "1542412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542412800000",
    "number": "1467921635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 W NORTH AVE STE 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606479755",
            "telephone_number": "312-623-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 W NORTH AVE STE 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606479755",
            "telephone_number": "312-623-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDYSZEWICK",
        "first_name": "SAMUEL",
        "middle_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-17",
        "last_updated": "2018-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Budinger, MD
• Ivan Budisin, PH.D.
• Gerelmaa Budmandakh, APN-CNP
• Sara Budowsky, LCSW
• Kumaraswamy Budur, MD
• Urszula Budz
• Robert Stanislaw Budziakowski, M.D.
• Katya Budzinski, LPC
• Martha Buechner
• Sandra Buecker Spears

• 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 Nov 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.