Individual provider Active NPI

Zena Goldenberg

  • Clinical Social Worker
  • Plainfield, IL
National Provider Identifier
1497164974
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014462 Issued in IL
Practice address
24600 W 127TH St Ste B100
Plainfield, IL 60585-9511
Phone
(779) 263-9036
NPI assigned
Aug 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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 149.014462 IL Primary

Addresses

Primary practice location

24600 W 127TH St Ste B100
Plainfield, IL 60585-9511

Mailing address

24600 W 127TH St Ste B100
Plainfield, IL 60585-9511
Phone (779) 263-9036

Other practice location 1

1770 Park St
Suite 109
Naperville, IL 60563-4865
Phone (630) 305-5702

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address zgoldenberg19024@direct.edward.org Direct
Direct Messaging Address zgoldenberg19024@direct.edward.org Direct
Direct Messaging Address zgoldenberg19024@direct.edward.org Direct

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
I20160127001224 IL Practitioner - Clinical Social Worker 7416250394 Reassigns benefits to 2 organizations
Practice locations: Naperville, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

24600 W 127TH St
Plainfield, IL 60585-9507

2650 Ridge Ave
Evanston, IL 60201-1700

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.014462ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures CurrentSince Apr 18, 2016 Accepting new patients
Edward Health Ventures CurrentSince Apr 18, 2016 Accepting new patients
Endeavor Health Medical Group CurrentSince Mar 30, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Mar 30, 2024 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

24600 W 127th St
Ste B100
Plainfield, IL 60585
Phone (815) 731-9000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1497164974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 W 127TH ST STE B100",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859511",
            "telephone_number": "779-263-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 W 127TH ST STE B100",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859511",
            "telephone_number": "779-263-9036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 Park St",
            "address_2": "Suite 109",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605634865",
            "country_code": "US",
            "telephone_number": "630-305-5702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDENBERG",
        "first_name": "ZENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zgoldenberg19024@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "24600 W 127th St Ste B100",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605859511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zgoldenberg19024@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "24600 W 127th St Ste B100",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605859511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zgoldenberg19024@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "24600 W 127th St Ste B100",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605859511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.