Active NPI
Beatriz Jaramillo, LCSW
- Clinical Social Worker
- Des Plaines, IL
National Provider Identifier
1568689198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-0100090
- Practice address
- 1001 E Touhy Ave
Suite 170
Des Plaines, IL 60018-5801 - Phone
- (847) 390-1422
- Fax
- (847) 297-3314
- NPI assigned
- Apr 18, 2007
- Last updated
- Jul 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149-0100090 | IL | Primary |
Addresses
Primary practice location
1001 E Touhy Ave
Suite 170
Des Plaines, IL 60018-5801
Mailing address
1001 E Touhy Ave
Suite 170
Des Plaines, IL 60018-5801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 6, 2023 through Aug 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-0100090 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graceful Therapy, PLLC | Past | Accepting new patients |
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.
-
- Professional Counselor
- Oswego, IL
- NPI 1932687332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1568689198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E TOUHY AVE",
"address_2": "SUITE 170",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600185801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E TOUHY AVE",
"address_2": "SUITE 170",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600185801",
"telephone_number": "847-390-1422",
"fax_number": "847-297-3314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARAMILLO",
"first_name": "BEATRIZ",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-0100090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.