Individual provider Active NPI

Nora J. Beasanski, MSW, LCSW

  • Clinical Social Worker
  • Hinsdale, IL
National Provider Identifier
1700961711
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-005870 Issued in IL
Practice address
201 E Ogden Ave Ste 118
Hinsdale, IL 60521-3776
Phone
(630) 270-7717
Fax
(779) 803-3119
NPI assigned
Oct 26, 2006
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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 149-005870 IL Primary

Addresses

Primary practice location

201 E Ogden Ave Ste 118
Hinsdale, IL 60521-3776

Mailing address

201 E Ogden Ave Ste 118
Hinsdale, IL 60521-3776
Phone (630) 270-7717

Other names 1

  • Nora J Dzierwa 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
I20081202000848 IL Practitioner - Clinical Social Worker 7911068432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Connections Medical Group Associates LLCGroup PAC ID 2365662517, 14 clinicians

Practice addresses (Care Compare)

2081 Calistoga Dr
Suite 2S
New Lenox, IL 60451-4833
Phone (815) 418-6070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-005870ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Medical Group Associates LLC CurrentSince Mar 19, 2024 Accepting new patients
Spectrum Private Client CurrentSince Jan 22, 2023 Accepting new patients
Sarah Kelder, Inc. Past Accepting new patients

Locations

201 E Ogden Ave
Ste 118
Hinsdale, IL 60521
Phone (630) 270-7717

2081 Calistoga Dr
Ste 2S
New Lenox, IL 60451
Phone (815) 418-6070

Organizations & group practices 3

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1700961711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E OGDEN AVE STE 118",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213776",
            "telephone_number": "630-270-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E OGDEN AVE STE 118",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213776",
            "telephone_number": "630-270-7717",
            "fax_number": "779-803-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASANSKI",
        "first_name": "NORA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-005870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORA",
            "last_name": "DZIERWA",
            "middle_name": "J",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.