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CARLIANN PENTZ
NPI 1629790761
Social Worker - Clinical in Evanston, IL

Active since September 15, 2022PECOS Enrolled
540 MICHIGAN AVE, EVANSTON, IL 60202(815) 529-3665 Get Directions Write a Review

NPPES record last updated: November 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 25, 2022, Sep 15, 2022 (2 updates tracked since 2022).

About Carliann Pentz NPPES

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

CARLIANN PENTZ (NPI 1629790761) is an individual clinical provider in Evanston, Illinois, licensed in Illinois (149025072) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1629790761
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARLIANN PENTZ
Location Address540 MICHIGAN AVEEvanston, IL 60202-3037
Mailing Address540 Michigan Ave Apt H3Evanston, IL 60202-3037 · (815) 529-3665
Phone(815) 529-3665
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 15, 2022
Last NPPES UpdateNovember 25, 20222 updates tracked since enumeration
NPPES CertifiedNovember 25, 2022
✔ NPI 1629790761 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 · 149025072
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 ListedSocial WorkerTaxonomy 104100000X · License 150109067 (IL)
540 MICHIGAN AVE, Evanston, IL 60202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carliann Pentz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436644861
PECOS Enrollment IDI20251223000625
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 Carliann Pentz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sondermind Provider Network LLC
919 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Colorado enrollment
  • 940 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279
Sondermind PC
1,837 mi
Clinical
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, Illinois enrollment
  • 106 clinicians in this Medicare group
NPI 1003646977 (844) 843-7279

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 60202 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.

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 Carliann Pentz's NPI number?

The NPI number for Carliann Pentz is 1629790761. It was assigned to this individual provider in the NPPES registry on September 15, 2022.

Where is Carliann Pentz located?

Carliann Pentz practices at 540 Michigan Ave, Evanston, IL 60202. The listed phone number is (815) 529-3665.

What is Carliann Pentz's specialty?

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

Is Carliann Pentz enrolled in Medicare?

Yes. Carliann Pentz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carliann Pentz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carliann Pentz reassigns Medicare benefits to 2 organizations: Sondermind Provider Network LLC (Denver, CO) and Sondermind PC (San Jose, CA). 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 Carliann Pentz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carliann Pentz accept?

Health plans from Select Health list Carliann Pentz 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 Carliann Pentz was last updated on November 25, 2022. 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.