| Jennifer Batza Lcsw Ltd | |
|
708 Church St Ste 258 Evanston IL 60201-3840 | |
| (312) 375-4953 | |
| (312) 577-0448 |
| Full Name | Jennifer Batza Lcsw Ltd |
|---|---|
| Speciality | Social Worker |
| Location | 708 Church St Ste 258, Evanston, Illinois |
| Authorized Official Name and Position | Jennifer Batza (OWNER, THERAPIST) |
| Authorized Official Contact | 3123754953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Batza Lcsw Ltd 708 Church St Ste 258 Evanston IL 60201-3840 Ph: (312) 375-4953 | Jennifer Batza Lcsw Ltd 708 Church St Ste 258 Evanston IL 60201-3840 Ph: (312) 375-4953 |
| NPI Number | 1598275133 |
|---|---|
| Provider Enumeration Date | 10/10/2017 |
| Last Update Date | 10/10/2017 |
| Medicare PECOS PAC ID | 3375897259 |
|---|---|
| Medicare Enrollment ID | O20181112002080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598275133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149014429 (Illinois) | Primary |
| Provider Name | Jennifer Batza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760814677 PECOS PAC ID: 4981958865 Enrollment ID: I20181112002302 |
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