Jessica Zaucha, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.012581 Issued in IL

Practice address

675 N North CT
Suite 285
Palatine, IL 60067-8157

Phone

(847) 221-5622

Fax

(847) 221-5688

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Goodwin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bza Behavioral Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Schaumburg, IL
  • NPI 1326307075
  NPD Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1174640387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E ALGONQUIN RD",
            "address_2": "SUITE 108",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601733846",
            "telephone_number": "847-221-5622",
            "fax_number": "847-221-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N NORTH CT",
            "address_2": "SUITE 285",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678157",
            "telephone_number": "847-221-5622",
            "fax_number": "847-221-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAUCHA",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150010352",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GOODWIN",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hong Yang, MD
• Ellen W. Yau-Wang, APN, FNP-BC
• Jung Mi Yi, PSY.D.
• Yt Medical Supplies
• Daria Julia Zajac, RDN, LDN
• Stephanie Zaverdas, ND
• Heather Zgorka, APRN
• Zigma Group NFP
• Zigma Medical Staffing
• Ilie Zingher

• Clinical Social Worker in Palatine, IL
• Providers in Palatine, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.