Individual provider Active NPI

Betsey Finnan, LCSW

  • Clinical Social Worker
  • Lombard, IL
National Provider Identifier
1871141499
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.020906 Issued in IL
Practice address
477 E Butterfield Rd Ste 212
Lombard, IL 60148-4879
Phone
(630) 866-5666
NPI assigned
Aug 27, 2019
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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 149.020906 IL Primary

Addresses

Primary practice location

477 E Butterfield Rd Ste 212
Lombard, IL 60148-4879

Mailing address

2003 Frantum Rd
Sycamore, IL 60178-8909
Phone (630) 866-5666

Other practice location 1

1140 N McLean Blvd Ste I
Elgin, IL 60123-1782
Phone (847) 695-3680 ext. 207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 18, 2023 through May 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.020906ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bricolage Wellness, LLC CurrentSince Apr 24, 2022 Accepting new patients
Meridian Psychiatric Partners, LLC Past Accepting new patients

Locations

477 E Butterfield Rd
Ste 212
Lombard, IL 60148
Phone (630) 335-4209

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1871141499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 FRANTUM RD",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601788909",
            "telephone_number": "630-866-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 E BUTTERFIELD RD STE 212",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484879",
            "telephone_number": "630-866-5666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 N McLean Blvd Ste I",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601231782",
            "country_code": "US",
            "telephone_number": "847-695-3680 x207",
            "fax_number": "847-695-4552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINNAN",
        "first_name": "BETSEY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.