Individual provider Active NPI

Mary Beckmen, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1821611476
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.021066 Issued in IL
Practice address
625 N Michigan Ave Ste 2550
Chicago, IL 60611-3182
Phone
(312) 533-4041
NPI assigned
May 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 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 149.021066 IL Primary

Addresses

Primary practice location

625 N Michigan Ave Ste 2550
Chicago, IL 60611-3182

Mailing address

1911 W Wilson St.
PMB 1139
Batavia, IL 60510

Other practice location 1

1911 W Wilson St
PMB 1139
Batavia, IL 60510
Phone (630) 313-4735

Other identifiers 1

IdentifierTypeStateIssuer
1346939956OtherBUSINESS NPI

Other names 1

  • Mary Kate Beckmen Other name

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

LicenseStateTypeSpecialty
149.021066ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beckmen Behavioral Health PLLC Clinical Current Accepting new patients

Locations

1911 W Wilson St
Batavia, IL 60510
Phone (331) 444-2427

661 W Lake St
Ste 2S
Chicago, IL 60661
Phone (312) 775-2045

2501 Chatham Rd
Springfield, IL 62704
Phone (312) 625-0078

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.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1821611476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 W WILSON ST.",
            "address_2": "PMB 1139",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "60510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N MICHIGAN AVE STE 2550",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113182",
            "telephone_number": "312-533-4041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1911 W Wilson St",
            "address_2": "PMB 1139",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "IL",
            "postal_code": "60510",
            "country_code": "US",
            "telephone_number": "630-313-4735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKMEN",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS NPI",
            "identifier": "1346939956",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY KATE",
            "last_name": "BECKMEN",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 11, 2023; 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.