Individual provider Active NPI

Constance Moroz

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1891455242
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1117 Cleveland St
Evanston, IL 60202-2114
Phone
(847) 830-0203
NPI assigned
Dec 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1117 Cleveland St
Evanston, IL 60202-2114

Mailing address

1117 Cleveland St
Evanston, IL 60202-2114
Phone (847) 830-0203

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
I20251218003613 IL Practitioner - Clinical Social Worker 7012402886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

155 N Michigan Ave
Suite 201
Chicago, IL 60601-7940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connie Moroz Therapy, PLLC Clinical CurrentSince Jan 2, 2022 Accepting new patients
Sage Therapy Chicago, PLLC CurrentSince Dec 8, 2025 Accepting new patients

Locations

1811 W North Ave
Ste 402
Chicago, IL 60622
Phone (312) 561-4393

3047 N Lincoln Ave
Chicago, IL 60657
Phone (773) 494-5505

155 N Michigan Ave
Ste 201
Chicago, IL 60601
Phone (312) 219-6335

Organizations & group practices 2

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": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1891455242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 CLEVELAND ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022114",
            "telephone_number": "847-830-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 CLEVELAND ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022114",
            "telephone_number": "847-830-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOROZ",
        "first_name": "CONSTANCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.