Individual provider Active NPI

Gary T. Zurawski, LCSW, CADC

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1144534728
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149013141 Issued in IL
Practice address
1560 Sherman Ave
Suite 400
Evanston, IL 60201-4818
Phone
(847) 869-1500
Fax
(847) 869-1515
NPI assigned
Aug 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23648 IL
Clinical Social Worker 1041C0700X 149013141 IL Primary

Addresses

Primary practice location

1560 Sherman Ave
Suite 400
Evanston, IL 60201-4818

Mailing address

5332 W Windsor Ave
Unit 3a
Chicago, IL 60630-3759
Phone (773) 241-4213

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
I20221104001742 IL Practitioner - Clinical Social Worker 6002283942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thriveworks Clinical - IllinoisGroup PAC ID 6800263823, 45 clinicians

Practice addresses (Care Compare)

333 N Michigan Ave
Suite 1810
Chicago, IL 60601-3983
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23648ILMDAddiction (Substance Use Disorder) Counselor
149013141ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - Illinois CurrentSince Sep 16, 2022 Accepting new patients
Yellowbrick Clinical Past Accepting new patients

Locations

333 N Michigan Ave
Ste 1810
Chicago, IL 60601
Phone (217) 850-1133

Organizations & group practices 2

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": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1144534728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5332 W WINDSOR AVE",
            "address_2": "UNIT 3A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303759",
            "telephone_number": "773-241-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 SHERMAN AVE",
            "address_2": "SUITE 400",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014818",
            "telephone_number": "847-869-1500",
            "fax_number": "847-869-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZURAWSKI",
        "first_name": "GARY",
        "middle_name": "T.",
        "credential": "LCSW, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "23648",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.