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MARCI ELLEN BALONICK MSW, LCSW
NPI 1285193995
Social Worker - Clinical in Highland Park, IL

Active since March 13, 2019PECOS Enrolled
2929 PRISCILLA AVE, HIGHLAND PARK, IL 60035(773) 793-2231 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marci Ellen Balonick Msw, Lcsw NPPES

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

MARCI ELLEN BALONICK MSW, LCSW (NPI 1285193995) is an individual clinical provider in Highland Park, Illinois, licensed in Illinois (149.016165) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285193995
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARCI ELLEN BALONICKCredential: MSW, LCSW
Location Address2929 PRISCILLA AVEHighland Park, IL 60035-1363
Mailing Address2929 Priscilla AveHighland Park, IL 60035-1363 · (773) 793-2231
Phone(773) 793-2231
Sole ProprietorYes
Enumeration DateMarch 13, 2019
✔ NPI 1285193995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.016165
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.
2929 PRISCILLA AVE, Highland Park, IL 60035
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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)

Marci Ellen Balonick Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Marci Balonick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cmc Healthcare LLC
13 mi
Nurse Practitioner
2201 MAIN ST
Evanston, IL 60202
  • Reassigned Medicare billing, Illinois enrollment
  • 191 clinicians in this Medicare group
NPI 1295432334 (773) 831-5021
Vitae Health Medical Illinois, PLLC
13 mi
Internal Medicine
3450 OAKTON ST
Skokie, IL 60076
  • Reassigned Medicare billing, Illinois enrollment
  • 491 clinicians in this Medicare group
NPI 1174013452 (224) 777-8034

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
388 services25 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60035 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 $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

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 Marci Balonick's NPI number?

The NPI number for Marci Balonick is 1285193995. It was assigned to this individual provider in the NPPES registry on March 13, 2019.

Where is Marci Balonick located?

Marci Balonick practices at 2929 Priscilla Ave, Highland Park, IL 60035. The listed phone number is (773) 793-2231.

What is Marci Balonick's specialty?

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

Is Marci Balonick enrolled in Medicare?

Yes. Marci Balonick is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marci Balonick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marci Balonick reassigns Medicare benefits to 2 organizations: Cmc Healthcare LLC (Evanston, IL) and Vitae Health Medical Illinois, PLLC (Skokie, 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 Marci Balonick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marci Balonick was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.