Provider Demographics
NPI:1730213299
Name:AKUAMOAH, BESSIE SULTON (MSW)
Entity type:Individual
Prefix:MS
First Name:BESSIE
Middle Name:SULTON
Last Name:AKUAMOAH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 E HYDE PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-2834
Mailing Address - Country:US
Mailing Address - Phone:773-370-7687
Mailing Address - Fax:773-363-0448
Practice Address - Street 1:1145 E HYDE PARK BLVD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-2834
Practice Address - Country:US
Practice Address - Phone:773-370-7687
Practice Address - Fax:773-363-0448
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0082861041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool