Active NPI
Erin Paul
- Clinical Social Worker
- Lake Villa, IL
National Provider Identifier
1063837169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.016262
- 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, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149.016262 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Antioch, IL
- NPI 1093352155
-
dba The Therapy Tree, LLC
- Professional Counselor
- Lake Villa, IL
- NPI 1063955847
-
- Speech-Language Pathologist
- Lake Villa, IL
- NPI 1710047964
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.