Healthcare Provider Details

I. General information

NPI: 1548325749
Provider Name (Legal Business Name): BETH LOUISE PLACHETKA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 S MAIN ST STE A
SUGAR GROVE IL
60554-5070
US

IV. Provider business mailing address

612 MARIE AVE
YORKVILLE IL
60560-1211
US

V. Phone/Fax

Practice location:
  • Phone: 630-272-4959
  • Fax: 844-799-2031
Mailing address:
  • Phone: 630-553-7452
  • Fax: 630-553-0077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149008976
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: