Jennifer Batza, L.C.S.W., A.M.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-014429 Issued in IL

Practice address

708 Church St Ste 258
Evanston, IL 60201-3840

Phone

(312) 375-4953

NPI assigned

Aug 1, 2013

Last updated

Oct 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jennifer Batza LCSW LTD

  • Clinical Social Worker
  • Evanston, IL
  • NPI 1598275133
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1760814677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 CHURCH ST STE 258",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013840",
            "telephone_number": "312-375-9453",
            "fax_number": "312-577-0448"
        },
        {
            "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": "312-375-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATZA",
        "first_name": "JENNIFER",
        "credential": "L.C.S.W., A.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014429",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-014429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xheni Basko, D.M.D.
• Emuata Ufok Bassey, M.D.
• Anupam Basu, M.D.
• Anette Batista
• Priyanka Batra, M.D.
• Victoria Baum, LCPC, NCC
• Nick Baumann
• Zachary Elijah Andrew Bean, MD
• Julie Mallia Beardsley, MA CCCSLP
• Adria Beasley, MA

• 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 Oct 10, 2017; 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.