Active NPI
Paul Raymond Szedziewski, LCSW
- Addiction (Substance Use Disorder) Counselor
- Milwaukee, WI
National Provider Identifier
1093881625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 13214
- Practice address
- 3970 N Oakland Ave Suite 502
Milwaukee, WI 53211 - Phone
- (414) 264-4343
- Fax
- (414) 332-8596
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 356 | WI | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13214 | WI | Primary |
Addresses
Primary practice location
3970 N Oakland Ave Suite 502
Milwaukee, WI 53211
Mailing address
3970 N Oakland Ave Suite 502
Milwaukee, WI 53211
Phone (414) 264-4343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39621200 | Medicaid | WI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 356 | WI | MD | Marriage & Family Therapist |
| 13214 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1093881625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3970 N OAKLAND AVE SUITE 502",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53211",
"telephone_number": "414-264-4343",
"fax_number": "414-332-8596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3970 N OAKLAND AVE SUITE 502",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53211",
"telephone_number": "414-264-4343",
"fax_number": "414-332-8596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZEDZIEWSKI",
"first_name": "PAUL",
"middle_name": "RAYMOND",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "356",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "13214",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39621200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.