Active NPI
Debra Jo Bellm, MSW, LCSW
- Clinical Social Worker
- Swansea, IL
National Provider Identifier
1831230846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.013884
- Practice address
- 6 Emerald Ter Ste 4
Swansea, IL 62226-2312 - Phone
- (618) 516-3337
- NPI assigned
- Feb 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 2248277 | IL | |
| Clinical Social Worker | 1041C0700X | 149.013884 | IL | Primary |
Addresses
Primary practice location
6 Emerald Ter Ste 4
Swansea, IL 62226-2312
Mailing address
1609 Arkansas Rd
Highland, IL 62249-4355
Phone (618) 654-3453
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.013884 | IL | MD | Clinical Social Worker |
| 2248277 | IL | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William a. Victor | Past | Accepting new patients |
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.
-
- Counselor
- Swansea, IL
- NPI 1225325442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312502400000",
"number": "1831230846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 ARKANSAS RD",
"city": "HIGHLAND",
"state": "IL",
"postal_code": "622494355",
"telephone_number": "618-654-3453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 EMERALD TER STE 4",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262312",
"telephone_number": "618-516-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLM",
"first_name": "DEBRA",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-11",
"last_updated": "2011-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "IL",
"license": "2248277",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.013884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Swansea, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.