Individual provider Active NPI

Melissa Pazen, MSW

  • Social Worker
  • Elgin, IL
National Provider Identifier
1689281073
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1845 Grandstand PL
Elgin, IL 60123-6603
Phone
(847) 695-0484
Fax
(847) 695-5496
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

1845 Grandstand PL
Elgin, IL 60123-6603

Mailing address

1050 Lakeview Rd
Elgin, IL 60123-1521
Phone (773) 405-3301

Other identifiers 1

IdentifierTypeStateIssuer
101YM0800XOtherMENTAL HEALTH COUNSELOR

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
I20240401002759 IL Practitioner - Clinical Social Worker 1355789009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blair Counseling and Mediation PCGroup PAC ID 9032515796, 4 clinicians

Practice addresses (Care Compare)

600 Dakota St
Suite B
Crystal Lake, IL 60012-3742
Phone (815) 276-3947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired Therapy, Melissa Pazen, MSW LCSW LLC CurrentSince Feb 25, 2024 Accepting new patients
Blair Counseling and Mediation PC Mental Health CurrentSince Jun 1, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 25, 2024 Accepting new patients

Locations

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

600 Dakota St
Ste B
Crystal Lake, IL 60012
Phone (815) 276-3947

27 Grant St
Crystal Lake, IL 60014
Phone (815) 276-3947

12555 Farm Hill Dr
Ste 500
Huntley, IL 60142
Phone (901) 205-9395

Organizations & group practices 3

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1689281073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LAKEVIEW RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231521",
            "telephone_number": "773-405-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 GRANDSTAND PL",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601236603",
            "telephone_number": "847-695-0484",
            "fax_number": "847-695-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZEN",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELOR",
            "identifier": "101YM0800X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.