Individual provider Active NPI

Angela Sue Zinzer, LCSW

  • Clinical Social Worker
  • Berwyn, IL
National Provider Identifier
1205181328
Registry record updated Jul 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.015375 Issued in IL
Practice address
6201 Cermak Rd
Berwyn, IL 60402-2331
Phone
(708) 788-8808
NPI assigned
Jul 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2012

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 149.015375 IL Primary

Addresses

Primary practice location

6201 Cermak Rd
Berwyn, IL 60402-2331

Mailing address

7225 Division St Apt 3
River Forest, IL 60305-1248
Phone (469) 585-4431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
149.015375ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Behavioral Science, LTD. CurrentSince Sep 25, 2012 Accepting new patients

Locations

6738 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2331

3300 Harlem Ave
#2
Riverside, IL 60546
Phone (708) 447-6789

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": "1342224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342224000000",
    "number": "1205181328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 DIVISION ST APT 3",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051248",
            "telephone_number": "469-585-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022331",
            "telephone_number": "708-788-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINZER",
        "first_name": "ANGELA",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-14",
        "last_updated": "2012-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2012; 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.