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BRIDGET DIETZ LCSW
NPI 1720522592
Social Worker - Clinical in Chicago, IL

Active since December 13, 2016PECOS Enrolled
4707 N BROADWAY ST STE 200, CHICAGO, IL 60640(312) 971-9441 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 12, 2024, Jan 11, 2023, Dec 13, 2016 (3 updates tracked since 2016).

About Bridget Dietz Lcsw NPPES

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

BRIDGET DIETZ LCSW (NPI 1720522592) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149024574) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720522592
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBRIDGET DIETZCredential: LCSW
Location Address4707 N BROADWAY ST STE 200Chicago, IL 60640-4999
Mailing Address4707 N Broadway St Ste 200Chicago, IL 60640-4999 · (312) 971-9441
Phone(312) 971-9441
Sole ProprietorYes
Enumeration DateDecember 13, 2016
Last NPPES UpdateAugust 12, 20243 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1720522592 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 · 149024574
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 05707 (KS), 10209 (KS), 2016041300 (MO)
4707 N BROADWAY ST STE 200, Chicago, IL 60640
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bridget Dietz 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 Reassignment

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

Psyche Wellbeing, PLLC
1,748 mi
Child & Adolescent Psychiatry
201 NE PARK PLAZA DR STE 200
Vancouver, WA 98684
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1609601384 (360) 903-1829

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 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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CATHERINE EVE KLEINMUNTZ PHD, LSW
Social Worker
4707 N BROADWAY ST STE 200
CHICAGO, IL 60640
Cook County (312) 210-0393
APRIL KOPP LCSW
Social Worker (Clinical)
4707 N BROADWAY ST STE 200
CHICAGO, IL 60640
Cook County (708) 620-0354
KANIKA SHUKUL, LCPC, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4707 N BROADWAY ST STE 200
CHICAGO, IL 60640
Cook County (773) 832-7878
APRIL KOPP LCSW PLLC
Social Worker (Clinical)
4707 N BROADWAY ST STE 200
CHICAGO, IL 60640
Cook County (708) 620-0354
ERIN TINNON, LCSW, PLLC
Social Worker (Clinical)
4707 N BROADWAY ST STE 200
CHICAGO, IL 60640
Cook County (773) 796-5987
ERIN TINNON MSW, LCSW
Social Worker (Clinical)
4707 N BROADWAY ST STE 200
CHICAGO, IL 60640
Cook County (773) 796-5987
ROOTED SELF COUNSELING, PLLC
Counselor (Mental Health)
4707 N BROADWAY ST STE 200
CHICAGO, IL 60640
Cook County (773) 688-8255

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 Bridget Dietz's NPI number?

The NPI number for Bridget Dietz is 1720522592. It was assigned to this individual provider in the NPPES registry on December 13, 2016.

Where is Bridget Dietz located?

Bridget Dietz practices at 4707 N Broadway St Ste 200, Chicago, IL 60640. The listed phone number is (312) 971-9441.

What is Bridget Dietz's specialty?

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

Is Bridget Dietz enrolled in Medicare?

Yes. Bridget Dietz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bridget Dietz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bridget Dietz reassigns Medicare benefits to Psyche Wellbeing, PLLC (Vancouver, WA). The 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 Bridget Dietz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bridget Dietz accept?

Health plans from Oscar Health and UnitedHealthcare list Bridget Dietz 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 Bridget Dietz was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.