Individual provider Active NPI

Becky June Nagel, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1932536570
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.012397 Issued in IL
Practice address
1 E Superior St Ste 500B
Chicago, IL 60611-2593
Phone
(312) 391-0273
NPI assigned
Sep 27, 2013
Last updated
Jul 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 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 149.012397 IL Primary

Addresses

Primary practice location

1 E Superior St Ste 500B
Chicago, IL 60611-2593

Mailing address

5724 W Cullom Ave Unit 3
Chicago, IL 60634-1718
Phone (312) 391-0273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.012397ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Becky Nagel LCSW Clinical CurrentSince Jul 31, 2022 Accepting new patients
Cook County Current Accepting new patients
Cook County CurrentSince Oct 26, 2017 Accepting new patients
Cook County CurrentSince Oct 26, 2017 Accepting new patients

Locations

1 E Superior St
Ste 500B
Chicago, IL 60611
Phone (312) 391-0273

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

Organizations & group practices 4

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": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1932536570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 W CULLOM AVE UNIT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341718",
            "telephone_number": "312-391-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E SUPERIOR ST STE 500B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112593",
            "telephone_number": "312-391-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGEL",
        "first_name": "BECKY",
        "middle_name": "JUNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.