Beth Ellen Klieger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.019914 Issued in IL

Practice address

5645 W Corcoran
Chicago, IL 60644

Phone

(872) 261-8122

NPI assigned

Jan 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Beth Ellen Schuck Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1710575576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 N AVONDALE AVE UNIT H",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476401",
            "telephone_number": "872-261-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 W CORCORAN",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60644",
            "telephone_number": "872-261-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIEGER",
        "first_name": "BETH",
        "middle_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CIS",
            "affiliation": "N",
            "address_1": "5645 W Corcoran",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "SCHUCK",
            "middle_name": "ELLEN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Kliber
• Amy Klichowski, M.D.
• Pamela Ann Klick, CCC-SLP/L
• Elizabeth A Klicker-Nicklay, LCPC
• Margaret Patricia Kliebhan, MD
• Catherine Sheer Kliegle, LCSW
• Scott Klier
• Mary Ann Kliethermes, PHARM.D.
• Heather Kligfeld, DO
• Tyler Klika

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.