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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISS JENNIFER MICHELLE BAZAN ACSW
NPI 1245844653
Social Worker - Clinical in Northridge, CA

Active since September 02, 2020PECOS Enrolled
9650 ZELZAH AVE, NORTHRIDGE, CA 91325(818) 993-9311 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2026, Jan 12, 2022, Nov 17, 2021 and 1 more (4 updates tracked since 2020).

About Miss Jennifer Michelle Bazan Acsw NPPES

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

MISS JENNIFER MICHELLE BAZAN ACSW (NPI 1245844653) is an individual clinical provider in Northridge, California, licensed in California (106123) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245844653
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS JENNIFER MICHELLE BAZANCredential: ACSW
Location Address9650 ZELZAH AVENorthridge, CA 91325-2003
Mailing Address9650 Zelzah AveNorthridge, CA 91325-2003 · (818) 993-9311
Phone(818) 993-9311
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 2, 2020
Last NPPES UpdateAugust 3, 20264 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1245844653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 106123
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 ListedRehabilitation PractitionerTaxonomy 225400000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9650 ZELZAH AVE, Northridge, CA 91325
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Jennifer Michelle Bazan Acsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466947494
PECOS Enrollment IDI20251217003593
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91325 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

LORENA GUTIERREZ
Rehabilitation Practitioner
9650 ZELZAH AVE
NORTHRIDGE, CA 91325
Los Angeles County (818) 993-9311
CLAUDIA CONTRERAS
Rehabilitation Practitioner
9650 ZELZAH AVE
NORTHRIDGE, CA 91325
Los Angeles County (818) 993-9311
JENNIFER SUSZYCKI
Rehabilitation Practitioner
9650 ZELZAH AVE
NORTHRIDGE, CA 91325
Los Angeles County (818) 993-9311
ANGELA PONCE
Social Worker (Clinical)
9650 ZELZAH AVE
NORTHRIDGE, CA 91325
Los Angeles County (818) 993-9311
LUPITA MENDOZA
Rehabilitation Practitioner
9650 ZELZAH AVE
NORTHRIDGE, CA 91325
Los Angeles County (818) 993-9311
ESMERALDA DIAZ BA
Day Training/Habilitation Specialist
9650 ZELZAH AVE
NORTHRIDGE, CA 91325
Los Angeles County (818) 993-9311
RUPAL MANKASSARIAN
Social Worker (Clinical)
9650 ZELZAH AVE
NORTHRIDGE, CA 91325
Los Angeles County (818) 993-9311
CARLA BARCLAY RIZK
Marriage & Family Therapist
9650 ZELZAH AVE
NORTHRIDGE, CA 91325
Los Angeles County (818) 993-9311

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 Jennifer Bazan's NPI number?

The NPI number for Jennifer Bazan is 1245844653. It was assigned to this individual provider in the NPPES registry on September 2, 2020.

Where is Jennifer Bazan located?

Jennifer Bazan practices at 9650 Zelzah Ave, Northridge, CA 91325. The listed phone number is (818) 993-9311.

What is Jennifer Bazan's specialty?

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

Is Jennifer Bazan enrolled in Medicare?

Yes. Jennifer Bazan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Bazan was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.