Active NPI
Crystal Anne Bellaby, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1649660994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.017252
- Practice address
- 2242 S Whipple St
3
Chicago, IL 60623-3775 - Phone
- (773) 290-7586
- NPI assigned
- Jan 26, 2015
- 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 | 149.017252 | IL | Primary |
Addresses
Primary practice location
2242 S Whipple St
3
Chicago, IL 60623-3775
Mailing address
2242 S Whipple St
3
Chicago, IL 60623-3775
Phone (773) 290-7586
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149.017252 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1649660994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2242 S WHIPPLE ST",
"address_2": "3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606233775",
"telephone_number": "773-290-7586",
"fax_number": "773-989-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2242 S WHIPPLE ST",
"address_2": "3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606233775",
"telephone_number": "773-290-7586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLABY",
"first_name": "CRYSTAL",
"middle_name": "ANNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-26",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.017252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.