Individual provider Active NPI

Erin Paul

  • Clinical Social Worker
  • Lake Villa, IL
National Provider Identifier
1063837169
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.016262 Issued in IL
Practice address
89 Cedar Ave
Lake Villa, IL 60046-8411
Phone
(847) 265-7300
Fax
(847) 265-7301
NPI assigned
Feb 26, 2014
Last updated
Feb 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.016262 IL Primary

Addresses

Primary practice location

89 Cedar Ave
Lake Villa, IL 60046-8411

Mailing address

3270 Mini Dr
Wadsworth, IL 60083-9464
Phone (630) 546-3800

Other names 1

  • Erin Hughes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.016262ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Birth to Three & Beyond Pediatric Therapies, LLC Past Accepting new patients
Erin Paul Associates, LLC Past Accepting new patients
The Therapy Tree D.B.a. Birth to Three & Beyond Pediatric Therapies Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1063837169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 MINI DR",
            "city": "WADSWORTH",
            "state": "IL",
            "postal_code": "600839464",
            "telephone_number": "630-546-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 CEDAR AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468411",
            "telephone_number": "847-265-7300",
            "fax_number": "847-265-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "ERIN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "HUGHES",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Villa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.