John Bozeday LCSW LTD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149003005 Issued in IL

Legal business name

JOHN BOZEDAY LCSW LTD

Practice address

708 Church St Ste 258
Evanston, IL 60201-3840

Phone

(847) 251-0346

NPI assigned

Dec 6, 2017

Organization subpart

No

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

Authorized official

Name

Mr. John Bozeday, LCSW

Title

President

Phone

(847) 251-0346

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1689189078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 RIDGE RD APT 4C",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913252",
            "telephone_number": "847-251-0346",
            "fax_number": "847-251-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 CHURCH ST STE 258",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013840",
            "telephone_number": "847-251-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BOZEDAY LCSW LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "BOZEDAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-251-0346",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149003005",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149003005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lu Jin, LPC, MA
• Natasha Jindal, M.D
• Joanna Kegler LCSW PLLC
• Joanne Lagattolla, PLLC
• Joanne Underwood, LCSW, PLLC
• Amy J. Johnson, MD
• Corrine Johnson, LCSW
• David H. Johnson, LCSW
• Gary S Johnson, OT
• Jintu Johnson, APN-CNP

• 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 Dec 6, 2017; 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.