Jennifer Dawn Bealer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.023885 Issued in IL

Practice address

2210 W Wabansia Ave
Chicago, IL 60647-5477

Phone

(847) 849-9237

NPI assigned

Oct 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Casey Tanner LLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1093480592
  NPD

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1972267441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 S HARPER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606372356",
            "telephone_number": "413-437-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 W WABANSIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475477",
            "telephone_number": "847-849-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALER",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Beal
• Susanne Yuko Beal, MA, CCC-SLP
• Lena Marie Beale, APRN
• Valerie Beale
• Coral Bealer
• Allan Julian Beall Sacasa, M.D.
• Clarence Beals
• Claudia Lynn Beals, MD
• Marni Marie Beals, ATC, LMT
• Natasha Kimberly Beals, LSW

• All providers in Chicago, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.