MR. BENJAMIN SEVERANCE LCSW
NPI 1902178379
Social Worker - Clinical in Chicago, IL

Q: What is Benjamin Severance's NPI number?

The NPI number for Benjamin Severance is 1902178379. It was assigned to this individual provider in the NPPES registry on February 1, 2012.

Q: What is Benjamin Severance's specialty?

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

Active since February 01, 2012PECOS EnrolledAccepts Medicare Assignment

1203 W AUGUSTA BLVD STE 1, CHICAGO, IL 60642(773) 248-2255 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Mr. Benjamin Severance Lcsw NPPES

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

MR. BENJAMIN SEVERANCE LCSW (NPI 1902178379) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149020763) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1902178379

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. BENJAMIN SEVERANCECredential: LCSW

Location Address1203 W AUGUSTA BLVD STE 1Chicago, IL 60642-4327

Mailing Address1203 W Augusta Blvd Ste 1Chicago, IL 60642-4327 · (773) 248-2255

Phone(773) 248-2255

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateFebruary 1, 2012

Last NPPES UpdateMarch 3, 2025

NPPES CertifiedMarch 3, 2025

✔ NPI 1902178379 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 · 149020763

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 ListedCounselorTaxonomy 101Y00000X

1203 W AUGUSTA BLVD STE 1, Chicago, IL 60642

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Benjamin Severance 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 ID7012328529

PECOS Enrollment IDI20201203003110

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

Medicare enrollment records show Benjamin Severance reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bespoke Psychiatry

Same address

Psychiatry

1203 W AUGUSTA BLVD STE 1
Chicago, IL 60642

Reassigned Medicare billing, Illinois enrollment
56 clinicians in this Medicare group

NPI 1952937104 (773) 248-2255

Vitae Health Medical Illinois, PLLC

9.3 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

Cmc Healthcare LLC

9.6 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

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 3

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, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

328 services24 patients

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.

89 services16 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.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60642 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.

TRENIQUEA BRADFORD FNP-BC

Registered Nurse