Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bethany Judson, LCSW

Individual provider Social Worker · NPI 1124884754

Bethany Judson, LCSW is a Clinical Social Worker in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices with Heartland Alliance Health, a 14-clinician group. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2024
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4009 N Broadway St
Chicago, IL 60613-2110
Phone: (773) 275-2586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.028744 (IL)
Social Worker Taxonomy 104100000X · Licence 150.108996 (IL)

Record details

NPI number1124884754
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 21, 2024
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025
Mailing address4009 N Broadway St, Chicago, IL 60613-2110

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Heartland Alliance Health — 14 clinicians
Accepts Medicare assignment Not indicated

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