John Bozeday, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.003005 Issued in IL

Practice address

708 Church St
Suite 258
Evanston, IL 60201-3875

Phone

(847) 251-0346

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1447326608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 RIDGE RD",
            "address_2": "UNIT 4C",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913299",
            "telephone_number": "847-251-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 CHURCH ST",
            "address_2": "SUITE 258",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013875",
            "telephone_number": "847-251-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZEDAY",
        "first_name": "JOHN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.003005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "149003005",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Haendle Bowker, MSW
• Catherine Boyce
• Christopher Alan Bass Boyle, MD
• Kathleen Elizabeth Boyle
• Thomas Boyle, PT, DPT
• Brianna K Brackin, DPT
• Carrie Grace Bradean, LCSW
• Curtis Bradford, M.D.
• Michelle Nadine Brand, MA, CCC, SLP
• Carol Irene Branka, PAC

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, 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 Sep 12, 2016; 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.