Individual provider Active NPI

Beth Marie Hawkins, LCSW,MAC,CAADC,CCJP

  • Clinical Social Worker
  • Crest Hill, IL
National Provider Identifier
1487211074
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.013243 Issued in IL
Practice address
2319 Plainfield Rd
Crest Hill, IL 60403-1875
Phone
(815) 260-7203
NPI assigned
May 20, 2019
Last updated
Jul 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 24915 IL
Clinical Social Worker 1041C0700X 149.013243 IL Primary

Addresses

Primary practice location

2319 Plainfield Rd
Crest Hill, IL 60403-1875

Mailing address

2319 Plainfield Rd
Crest Hill, IL 60403-1875
Phone (815) 260-7203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24915ILMDAddiction (Substance Use Disorder) Counselor
149.013243ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Behavioral Services at the Jeannine Brent Center Incorporated Current Accepting new patients

Locations

2319 Plainfield Rd
Crest Hill, IL 60403
Phone (815) 260-7203

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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1487211074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 PLAINFIELD RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031875",
            "telephone_number": "815-260-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 PLAINFIELD RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031875",
            "telephone_number": "815-260-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "BETH",
        "middle_name": "MARIE",
        "credential": "LCSW,MAC,CAADC,CCJP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "24915",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.