Bessie Sulton Akuamoah, MSW

Individual provider Active NPI Clinical Social Worker · Chicago, IL

NPI 1730213299 · NPPES record last updated Jan 5, 2016

Key facts

NPI
1730213299
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149.008286 (IL)
Practice address
1145 E Hyde Park Blvd
Chicago, IL 60615-2834
Phone
(773) 370-7687
Fax
(773) 363-0448
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
149.008286ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Earnest Webb, PC Past
since Jan 22, 2016
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.008286 IL Yes
School Social Worker 1041S0200X 149.008286 IL

Addresses

Primary practice location

1145 E Hyde Park Blvd
Chicago, IL 60615-2834

Mailing address

1145 E Hyde Park Blvd
Chicago, IL 60615-2834
Phone (773) 370-7687

Other providers in Chicago, IL

All providers in Chicago, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.