Individual provider Active NPI

Emily Lauren Beck, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1598215212
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149017978 Issued in IL
Practice address
2040 N Milwaukee Ave
Chicago, IL 60647-4002
Phone
(872) 216-6024
NPI assigned
Oct 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2019

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 149017978 IL Primary

Addresses

Primary practice location

2040 N Milwaukee Ave
Chicago, IL 60647-4002

Mailing address

3111 W Armitage Ave
Chicago, IL 60647-3818
Phone (872) 216-6024

Other practice location 1

313 N Mattis Ave Ste 209
Champaign, IL 61821-2461
Phone (217) 203-2008

Other names 1

  • Emily Adelstein Former name

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
I20190412001839 IL Practitioner - Clinical Social Worker 7416298732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Champaign Counseling LLCGroup PAC ID 9335429232, 3 clinicians

Practice addresses (Care Compare)

7 Dunlap CT
Savoy, IL 61874-9501
Phone (217) 203-2008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Champaign Counseling LLC Clinical CurrentSince Mar 4, 2019 Accepting new patients

Locations

313 N Mattis Ave
Ste 116
Champaign, IL 61821
Phone (217) 203-2008

313 N Mattis Ave
Ste 209
Champaign, IL 61821
Phone (217) 203-2008

7 Dunlap Ct
Savoy, IL 61874
Phone (217) 203-2008

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": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1598215212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 W ARMITAGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473818",
            "telephone_number": "872-216-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474002",
            "telephone_number": "872-216-6024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 N Mattis Ave Ste 209",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618212461",
            "country_code": "US",
            "telephone_number": "217-203-2008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECK",
        "first_name": "EMILY",
        "middle_name": "LAUREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ADELSTEIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.