Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Benjamin Severance , LCSW

Social Worker - Clinical โ€ข Chicago, IL

Active NPI 1902178379 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1203 W Augusta Blvd Ste 1
Chicago, IL 606424327

Call 7732482255 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1203 W Augusta Blvd Ste 1

Chicago, IL 606424327

Telephone 7732482255
Organization at the Same NPPES Address or Phone
Bespoke Psychiatry Facility NPI 1952937104

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Cmc Healthcare Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2013

Medicare patients

28 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $31,856 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $25,381 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Years since graduation

13 years (graduated 2013)

CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Benjamin Severance has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Benjamin Severance as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chicago and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 65% of clinicians listed under Social Worker - Clinical in Chicago, IL (2024, 105 clinicians with data). Median for this group: 273. Middle half: 130 to 461.

More Medicare Part B services than 80% of clinicians listed under Social Worker - Clinical in Illinois (2024, 669 clinicians with data). Median for this group: 231. Middle half: 132 to 373.

Medicare-allowed amount

Close to the middle for clinicians listed under Social Worker - Clinical in Chicago, IL (2024, 105 clinicians with data). Median for this group: $25,948. Middle half: $11,047 to $40,619.

A higher Medicare-allowed amount than 65% of clinicians listed under Social Worker - Clinical in Illinois (2024, 669 clinicians with data). Median for this group: $23,702. Middle half: $12,712 to $35,936.

Paid by Medicare

Close to the middle for clinicians listed under Social Worker - Clinical in Chicago, IL (2024, 105 clinicians with data). Median for this group: $18,889. Middle half: $8,490 to $31,466.

A higher Medicare payment amount than 65% of clinicians listed under Social Worker - Clinical in Illinois (2024, 669 clinicians with data). Median for this group: $18,024. Middle half: $9,600 to $27,697.

4,373 active clinicians are listed under Social Worker - Clinical with a practice address in Chicago, IL (13,643 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

6% of these 4,373 clinicians have the CMS telehealth indicator.

12.4% of these 4,373 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2021โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
90832 Psychotherapy, 30 minutes
328 24 $142.00 $59.48
90837 Psychotherapy, 1 hour
89 16 $285.00 $115.20
90791 Psychiatric diagnostic evaluation
16 16 $291.00 $130.86

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-03
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES IL 149020763

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20201203003110

Enrollment State Jurisdiction

IL

PECOS Control ID

7012328529

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Cmc Healthcare Llc

9300 W Ballard Rd, Des Plaines, IL 600164904

Phone: 8472942300

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
Dr. Elaina Barraza , DNP

Nurse Practitioner - Gerontology

NPI 1558937508

Doctor of Nursing Practice

Chanelle Bates , APN

Nurse Practitioner - Family

NPI 1457986929

Advanced Practice Nurse

Caroline Bernardi

Nurse Practitioner - Family

NPI 1912525544
Shawna Donaldson , RN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1902595226

Registered Nurse

Kelsey Frain , APRN

Psychiatry & Neurology - Psychiatry

NPI 1649057795

Advanced Practice Registered Nurse

Dr. Jamie Fyda , MD

Psychiatry & Neurology - Psychiatry

NPI 1518548429

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
๐Ÿ“
Updated Practice Location March 03, 2025

Registered at 1203 W AUGUSTA BLVD STE 1, CHICAGO, IL 606424327 (Tel: 7732482255)

๐Ÿ“
Updated Business Mailing Address March 03, 2025

Registered at 1203 W AUGUSTA BLVD STE 1, CHICAGO, IL 606424327 (Tel: 7732482255)

๐Ÿ‘ค
Provider Name / Credentials Updated March 03, 2025

Recorded as BENJAMIN SEVERANCE, LCSW

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2025

Social Worker (license number reported to NPPES: IL 149020763)

โœ…
NPI Profile Active February 01, 2012

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) February 01, 2012

Registered at 1305 E INDIAN TRL, AURORA, IL 605051600 (Tel: 6309664297)

๐Ÿ“
Business Mailing Address (Initial Record) February 01, 2012

Registered at 1305 E INDIAN TRL, AURORA, IL 605051600 (Tel: 6309664297)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) February 01, 2012

Recorded as BENJAMIN SEVERANCE

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2012

Counselor

๐ŸŸข
Initial NPI Registration & Enumeration February 01, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1902178379
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2012
Last Update: March 03, 2025
Sole Proprietor: No

Other Social Worker - Clinicals in Chicago

All Social Worker - Clinicals in Chicago

Mailing Address

1203 W Augusta Blvd Ste 1

Chicago, IL 606424327

Phone: 7732482255

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.