MR. TARIK MARWAN QAZZAZ LCSW
NPI 1598014797
Social Worker - Clinical in Chicago, IL

Q: What is Tarik Qazzaz's NPI number?

The NPI number for Tarik Qazzaz is 1598014797. It was assigned to this individual provider in the NPPES registry on September 4, 2012.

Q: What is Tarik Qazzaz'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 Tarik Qazzaz was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since September 04, 2012PECOS EnrolledAccepts Medicare Assignment

4740 N CLARK ST, CHICAGO, IL 60640(773) 769-0205(773) 765-0801 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Tarik Marwan Qazzaz Lcsw NPPES

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

MR. TARIK MARWAN QAZZAZ LCSW (NPI 1598014797) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.015178) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1598014797

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. TARIK MARWAN QAZZAZCredential: LCSW

Location Address4740 N CLARK STChicago, IL 60640-4689

Mailing Address4740 N Clark StChicago, IL 60640-4689 · (773) 769-0205 · Fax (773) 765-0801

Phone(773) 769-0205

Fax(773) 765-0801

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateSeptember 4, 2012

✔ NPI 1598014797 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 · 149.015178

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.

4740 N CLARK ST, Chicago, IL 60640

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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 and accepts Medicare assignment

Mr. Tarik Marwan Qazzaz 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 ID2961728514

PECOS Enrollment IDI20150226000790

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 60640 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.

HERBERT T COBBS CADC

Counselor (Addiction (Substance Use Disorder))