Individual provider Active NPI

Masi A Kadzai, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1164279790
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.026714 Issued in IL
Practice address
1401 W 109TH PL Apt 1
Chicago, IL 60643-3611
Phone
(773) 556-4387
NPI assigned
May 1, 2024
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X TPSW5917 FL
Clinical Social Worker 1041C0700X 149.026714 IL Primary

Addresses

Primary practice location

1401 W 109TH PL Apt 1
Chicago, IL 60643-3611

Mailing address

1401 W 109TH PL Apt 1
Chicago, IL 60643-3611
Phone (312) 254-6317

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
I20250206002437 IL Practitioner - Clinical Social Worker 2567992423 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thriveworks Clinical - IllinoisGroup PAC ID 6800263823, 45 clinicians

Practice addresses (Care Compare)

9730 S Western Ave
Suite 350
Evergreen Park, IL 60805-2814
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPSW5917FLMDClinical Social Worker
149.026714ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beloved Community Family Wellness Center CurrentSince Dec 6, 2024 Accepting new patients
Beloved Community Family Wellness Center CurrentSince Dec 6, 2024 Accepting new patients
Beloved Community Family Wellness Center Current Accepting new patients
Mental Health Specialty Group PA CurrentSince Jul 1, 2025 Accepting new patients
Rockford Psychiatric Medical Services, S.C. CurrentSince Mar 6, 2025 Accepting new patients

Locations

2338 New St
Blue Island, IL 60406
Phone (708) 577-5060

326 W 64th St
Ste 205
Chicago, IL 60621
Phone (773) 651-3629

332 S Michigan Ave
Chicago, IL 60604
Phone (773) 633-7479

6821 S Halsted St
Chicago, IL 60621
Phone (773) 651-3629

9730 S Western Ave
Ste 206
Evergreen Park, IL 60805
Phone (708) 475-0622

9730 S Western Ave
Ste 230
Evergreen Pk, IL 60805
Phone (708) 422-4944

1639 N Alpine Rd
Ste 260
Rockford, IL 61107
Phone (815) 395-1500

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: masi.kadzai.d1.p21@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1164279790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W 109TH PL APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433611",
            "telephone_number": "312-254-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W 109TH PL APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433611",
            "telephone_number": "773-556-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADZAI",
        "first_name": "MASI",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW5917",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.