Individual provider Active NPI

Neelma Zafar, LCSW

  • Clinical Social Worker
  • Savoy, IL
National Provider Identifier
1275213035
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149025722 Issued in IL
Practice address
1405 Shantel Dr
Savoy, IL 61874-7812
Phone
(740) 418-3864
NPI assigned
Jul 18, 2023
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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 149025722 IL Primary

Addresses

Primary practice location

1405 Shantel Dr
Savoy, IL 61874-7812

Mailing address

1405 Shantel Dr
Savoy, IL 61874-7812
Phone (740) 418-3864

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
I20230908003123 IL Practitioner - Clinical Social Worker 3577927573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

Practice addresses (Care Compare)

2506 Galen Dr
Suite 101
Champaign, IL 61821-7047
Phone (888) 428-7890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Aug 5, 2023 Accepting new patients
Edgewood Clinical Services, P.C. Clinical CurrentSince Nov 13, 2023 Accepting new patients
Psychology Specialists LTD PastSince Nov 13, 2023 Accepting new patients
Psychology Specialists LTD Clinical Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 310-4636

2506 Galen Dr
Ste 101
Champaign, IL 61821
Phone (217) 693-6072

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

Organizations & group practices 4

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": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1275213035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SHANTEL DR",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618747812",
            "telephone_number": "740-418-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SHANTEL DR",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618747812",
            "telephone_number": "740-418-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAFAR",
        "first_name": "NEELMA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149025722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savoy, IL

Sources for this page

Verify at the official NPI Registry.