Individual provider Active NPI

Jeffrey Pyritz, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1073064895
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149018344 Issued in IL
Practice address
1122 W Catalpa Ave
Apt 412
Chicago, IL 60640-1472
Phone
(312) 771-3811
NPI assigned
Oct 17, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149018344 IL Primary

Addresses

Primary practice location

1122 W Catalpa Ave
Apt 412
Chicago, IL 60640-1472

Mailing address

1122 W Catalpa Ave
Apt 412
Chicago, IL 60640-1472
Phone (312) 771-3811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200729000226 IL Practitioner - Clinical Social Worker 1052736774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catalyst Clinical Group, IncGroup PAC ID 5799029849, 3 clinicians

Practice addresses (Care Compare)

4433 N Ravenswood Ave
Suite 210
Chicago, IL 60640-7755
Phone (312) 834-5487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149018344ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Clinical Group, Inc Clinical CurrentSince Jun 5, 2021 Accepting new patients

Locations

4433 N Ravenswood Ave
Ste 210
Chicago, IL 60640
Phone (312) 834-5487

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1073064895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 W CATALPA AVE",
            "address_2": "APT 412",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401472",
            "telephone_number": "312-771-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 W CATALPA AVE",
            "address_2": "APT 412",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401472",
            "telephone_number": "312-771-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYRITZ",
        "first_name": "JEFFREY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.