Provider Demographics
NPI:1962958488
Name:BEATO, ABBIE T (LCSW, CADC)
Entity type:Individual
Prefix:
First Name:ABBIE
Middle Name:T
Last Name:BEATO
Suffix:
Gender:
Credentials:LCSW, CADC
Other - Prefix:
Other - First Name:ABBIE
Other - Middle Name:T
Other - Last Name:DAIGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, CADC
Mailing Address - Street 1:2833 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-2855
Mailing Address - Country:US
Mailing Address - Phone:708-580-7026
Mailing Address - Fax:
Practice Address - Street 1:2833 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-2855
Practice Address - Country:US
Practice Address - Phone:708-305-7270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-26
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL30174101YA0400X
IL149.0163751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)