JOSE ZAVALA LCSW
NPI 1205571171
Social Worker - Clinical in Oak Park, IL

Active since May 04, 2022PECOS EnrolledAccepts Medicare Assignment
14 LAKE ST, OAK PARK, IL 60302(773) 584-4178 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 30, 2023, Jan 27, 2023, May 4, 2022 (3 updates tracked since 2022).

About Jose Zavala Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE ZAVALA LCSW (NPI 1205571171) is an individual clinical provider in Oak Park, Illinois, licensed in Illinois (149025090) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205571171
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOSE ZAVALACredential: LCSW
Location Address14 LAKE STOak Park, IL 60302-2606
Mailing Address14 Lake StOak Park, IL 60302-2606
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 4, 2022
Last NPPES UpdateJanuary 30, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
✔ NPI 1205571171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149025090
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselorTaxonomy 101Y00000X · License 149025090 (IL)
14 LAKE ST, Oak Park, IL 60302

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose Zavala Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921541624
PECOS Enrollment IDI20240624000059
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jose Zavala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
14 LAKE ST
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 221 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
2001 S. CALIFORNIA AVE, SUITE 100
Chicago, IL 60608
  • Reassigned Medicare billing, Illinois enrollment
  • 123 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
14 LAKE ST
OAK PARK, IL 60302
Social Worker (Clinical)
14 LAKE ST
OAK PARK, IL 60302
Counselor (Professional)
14 LAKE ST
OAK PARK, IL 60302
Family Medicine
14 LAKE ST
OAK PARK, IL 60302
Family Medicine
14 LAKE ST
OAK PARK, IL 60302
Social Worker (Clinical)
14 LAKE ST
OAK PARK, IL 60302
Family Medicine
14 LAKE ST
OAK PARK, IL 60302
Nurse Practitioner (Family)
14 LAKE ST
OAK PARK, IL 60302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Zavala's NPI number?

The NPI number for Jose Zavala is 1205571171. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Where is Jose Zavala located?

Jose Zavala practices at 14 Lake St, Oak Park, IL 60302. The listed phone number is (773) 584-4178.

What is Jose Zavala's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jose Zavala enrolled in Medicare?

Yes. Jose Zavala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jose Zavala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Zavala reassigns Medicare benefits to 2 organizations: Pcc Community Wellness Center (Oak Park, IL) and Esperanza Health Centers (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Zavala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Zavala accept?

Health plans from Oscar Health list Jose Zavala as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jose Zavala was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.