Diane Mae Becker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149008662 Issued in IL

Practice address

721 Laporte Ave
Wilmette, IL 60091-2021

Phone

(773) 750-6135

NPI assigned

Apr 15, 2024

Last updated

Apr 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1801640065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 LAPORTE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912021",
            "telephone_number": "773-750-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 LAPORTE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912021",
            "telephone_number": "773-750-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "DIANE",
        "middle_name": "MAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Barin
• Deborah M Barr
• Lori Ann Barsztaitis, LCSW
• Cynthia L Bartholow, MD PC
• Morgan Bashford
• Michael L Belba, D.C.
• Alexis J Bell
• Kathryn Benshish, LSW, MSW
• Valery Benson, PMHNP-BC
• Patricia Berg-Drazin, RLC, IBCLC

• Clinical Social Worker in Wilmette, IL
• Providers in Wilmette, 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 Apr 15, 2024; 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.