Individual provider Active NPI

Joyce Shatney, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1508999723
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.002246 Issued in IL
Practice address
6160 N Cicero Ave
Suite 605
Chicago, IL 60646-4312
Phone
(847) 796-5692
Fax
(847) 965-6923
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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 149.002246 IL Primary

Addresses

Primary practice location

6160 N Cicero Ave
Suite 605
Chicago, IL 60646-4312

Mailing address

6160 N Cicero Ave
Suite 605
Chicago, IL 60646-4312
Phone (847) 796-5692

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
I20110223001161 IL Practitioner - Clinical Social Worker 7517148596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6160 N Cicero Ave
Suite 605
Chicago, IL 60646-4329
Phone (847) 965-6923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.002246ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
In Balance Psychotherapy LTD Clinical CurrentSince Feb 23, 2011 Accepting new patients

Locations

6160 N Cicero Ave
Ste 605
Chicago, IL 60646
Phone (847) 796-5692

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1508999723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 N CICERO AVE",
            "address_2": "SUITE 605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464312",
            "telephone_number": "847-796-5692",
            "fax_number": "847-965-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 N CICERO AVE",
            "address_2": "SUITE 605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464312",
            "telephone_number": "847-796-5692",
            "fax_number": "847-965-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATNEY",
        "first_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.002246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.