Jennifer Elzey, BS

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

920 W Custer Ave
Pontiac, IL 61764-1067

Phone

(815) 844-6109

Fax

(815) 844-3561

NPI assigned

Jan 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Institute for Human Resources of Livingston County, IlGroup PAC ID 7810066511, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

Practice roles

Locations

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.

• Institute for Human Resources of Livingston County, Il

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pontiac, IL
  • NPI 1649239674
  Medicare reassignment Care Compare group NPD
• Elliott Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Normal, IL
  • NPI 1396067559
  Medicare reassignment

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1700384641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 768",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617640768",
            "telephone_number": "815-844-6109",
            "fax_number": "815-844-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W CUSTER AVE",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641067",
            "telephone_number": "815-844-6109",
            "fax_number": "815-844-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELZEY",
        "first_name": "JENNIFER",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duffy-Baier-Snedecor Ambulance Service LLC
• Amy Duffy, LCPC
• Gloria J Duy, RD, LDN
• Kimber Marian Edelman, COTA/L
• Junior Lynn Elling, OTR/L, MHA
• Kaitlyn Elzey, RSA
• Evenglow Lodge
• Family Eye Care of Pontiac, LLC
• Andrew John Farraher, CNP
• Ashley Nicole Fauser

• Social Worker in Pontiac, IL
• Providers in Pontiac, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.