Zahava S Davidson, LCSW
Individual provider Active NPI Clinical Social Worker · Evanston, IL
NPI 1982764346 · NPPES record last updated Oct 10, 2024
Key facts
- NPI
- 1982764346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149007307 (IL)
- Practice address
- 909 Davis St
Suite 160
Evanston, IL 60201-3645 - Phone
- (847) 425-6442
- Fax
- (847) 425-6408
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Endeavor Health Medical Group
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
Hospital & facility affiliations
- Northshore University Healthsystem - Evanston Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050907000378 | IL | Practitioner - Clinical Social Worker | 6800828203 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-007307 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current |
Accepting new patients | |
| Endeavor Health Clinical Operations | Past | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
909 Davis St
Ste 160
Evanston, IL 60201
Phone (847) 425-6425
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
830 W End Ct
Ste 500
Vernon Hills, IL 60061
Phone (847) 522-8900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 149-007307 | IL | |
| Clinical Social Worker | 1041C0700X | 149007307 | IL | Yes |
Addresses
Primary practice location
909 Davis St
Suite 160
Evanston, IL 60201-3645
Mailing address
2650 Ridge Ave
Evanston Hospital
Evanston, IL 60201-1718
Phone (847) 570-1206
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | zdavidson75132@direct.northshore.org |
Other providers in Evanston, IL
- Amanda Dauten
- David Klow & Associates
- David Spindel M D & S C
- Jacqueline Deborah David
- Gretchen Genz Davidson
- Lee Davimes
- Davis Transportation LLC
- Alison Davis
- Bryanna Davis
- Gary Jack Davis
All providers in Evanston, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.