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

Q: 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.

Q: What is Jennifer Bazan's specialty?

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

Q: 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 2 months 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.

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: October 25, 2026.

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Bazan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

1.5 mi

Health Maintenance Organization

8999 BALBOA BLVD
Northridge, CA 91325

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1013409036 (877) 608-0044

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 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