George L Pauley, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

464 Central Ave
#30
Northfield, IL 60093-3040

Phone

(847) 446-5545

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043368608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 N SHERIDAN RD",
            "address_2": "#4811",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401954",
            "telephone_number": "773-784-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 CENTRAL AVE",
            "address_2": "#30",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933040",
            "telephone_number": "847-446-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULEY",
        "first_name": "GEORGE",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "016-05084",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anuja Patel
• Darshna Patel, FNP-C
• Foramben Ankur Patel, MPT
• Krishnabhai Patel, M.D.
• Neha Patel, OTR/L
• Jennifer Lynn Paxhia, L.C.S.W.
• Avia N/a Paz
• Marc Nathan Pechter, LCSW
• Pamela L Peirick
• Grace Pelzer

• Clinical Social Worker in Northfield, IL
• Providers in Northfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.