Individual provider Active NPI

James Raymond Belanger, LCSW, CADC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1851824908
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.019241 Issued in IL
Practice address
446 E Ontario St Ste 6-100
Chicago, IL 60611-4418
Phone
(312) 926-8200
Fax
(312) 926-7960
NPI assigned
Apr 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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 149.019241 IL Primary

Addresses

Primary practice location

446 E Ontario St Ste 6-100
Chicago, IL 60611-4418

Mailing address

446 E Ontario St Ste 6-100
Chicago, IL 60611-4418
Phone (312) 926-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210219001769 IL Practitioner - Clinical Social Worker 9931514171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baal Perazim Wellness IncGroup PAC ID 7618218587, 20 clinicians

Practice addresses (Care Compare)

3416 S Halsted St
Chicago, IL 60608-6708
Phone (773) 296-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.019241ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Baal Perazim Wellness, Inc CurrentSince Oct 10, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 15, 2021 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 15, 2021 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

2835 N Sheffield Ave
Ste 500
Chicago, IL 60657
Phone (773) 525-6955

446 E Ontario St
Ste 6100
Chicago, IL 60611
Phone (312) 351-0007

3416 S Halsted St
Chicago, IL 60608
Phone (773) 451-9444

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

Organizations & group practices 3

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1851824908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 E ONTARIO ST STE 6-100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114418",
            "telephone_number": "312-926-8200",
            "fax_number": "312-926-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 E ONTARIO ST STE 6-100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114418",
            "telephone_number": "312-926-8200",
            "fax_number": "312-926-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELANGER",
        "first_name": "JAMES",
        "middle_name": "RAYMOND",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.