Individual provider Active NPI

Amy A. Zann, MSW, LCSW

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1518998608
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-009680 Issued in IL
Practice address
636 Church St Ste 714
Evanston, IL 60201-4587
Phone
(847) 708-1844
NPI assigned
Jul 6, 2006
Last updated
Apr 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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 149-009680 IL Primary

Addresses

Primary practice location

636 Church St Ste 714
Evanston, IL 60201-4587

Mailing address

636 Church St Ste 714
Evanston, IL 60201-4587
Phone (847) 708-1844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 10, 2015 through Nov 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-009680ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1518998608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST STE 714",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014587",
            "telephone_number": "847-708-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST STE 714",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014587",
            "telephone_number": "847-708-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANN",
        "first_name": "AMY",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-009680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.