Provider Demographics
NPI:1700961711
Name:BEASANSKI, NORA J (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:NORA
Middle Name:J
Last Name:BEASANSKI
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:NORA
Other - Middle Name:J
Other - Last Name:DZIERWA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:201 E OGDEN AVE STE 118
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3776
Mailing Address - Country:US
Mailing Address - Phone:630-270-7717
Mailing Address - Fax:
Practice Address - Street 1:201 E OGDEN AVE STE 118
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3776
Practice Address - Country:US
Practice Address - Phone:630-270-7717
Practice Address - Fax:779-803-3119
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0058701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical