Active NPI
Zaria Ivy
- Social Worker
- Waukegan, IL
National Provider Identifier
1770475147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 204 N Genesee St
Waukegan, IL 60085-4262 - Phone
- (847) 441-5600
- NPI assigned
- Jul 18, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
204 N Genesee St
Waukegan, IL 60085-4262
Mailing address
10 W Pinehurst Cir Apt I10-303
Glendale Heights, IL 60139-3629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Josselyn Center NFP | Current | Accepting new patients |
Locations
204 N Genesee St
Waukegan, IL 60085
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukegan, IL
- NPI 1114731494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752796800000",
"number": "1770475147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 W PINEHURST CIR APT I10-303",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "601393629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 N GENESEE ST",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600854262",
"telephone_number": "847-441-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVY",
"first_name": "ZARIA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-07-18",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.