Individual provider Active NPI

Abbie T Beato, LCSW, CADC

  • Clinical Social Worker
  • Berwyn, IL
National Provider Identifier
1962958488
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.016375 Issued in IL
Practice address
2833 Maple Ave
Berwyn, IL 60402-2855
Phone
(708) 305-7270
NPI assigned
Aug 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 30174 IL
Clinical Social Worker 1041C0700X 149.016375 IL Primary

Addresses

Primary practice location

2833 Maple Ave
Berwyn, IL 60402-2855

Mailing address

2833 Maple Ave
Berwyn, IL 60402-2855
Phone (708) 580-7026

Other names 1

  • Abbie T Daigle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 1, 2025 through Mar 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30174ILMDAddiction (Substance Use Disorder) Counselor
149.016375ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Mental Health PLLC CurrentSince Mar 11, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1962958488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 MAPLE AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022855",
            "telephone_number": "708-580-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 MAPLE AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022855",
            "telephone_number": "708-305-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATO",
        "first_name": "ABBIE",
        "middle_name": "T",
        "credential": "LCSW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "30174",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBIE",
            "last_name": "DAIGLE",
            "middle_name": "T",
            "credential": "LCSW, CADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berwyn, IL

Sources for this page

Verify at the official NPI Registry.