Individual provider Active NPI

Paige Bartley, LCSW

  • Clinical Social Worker
  • Oak Park, IL
National Provider Identifier
1215408885
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.009458 Issued in IL
Practice address
137 N Oak Park Ave Ste 408
Oak Park, IL 60301-1338
Phone
(708) 369-1612
NPI assigned
Dec 7, 2018
Last updated
Dec 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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 149.009458 IL Primary

Addresses

Primary practice location

137 N Oak Park Ave Ste 408
Oak Park, IL 60301-1338

Mailing address

801 N Lombard Ave
Oak Park, IL 60302-1430
Phone (708) 369-1612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220613001470 IL Practitioner - Clinical Social Worker 9931587417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mosaic Counseling and Wellness LLCGroup PAC ID 1355728353, 29 clinicians

Practice addresses (Care Compare)

386 N York St
Elmhurst, IL 60126-2363
Phone (312) 213-7862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.009458ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Counseling and Wellness LLC CurrentSince Feb 2, 2022 Accepting new patients

Locations

386 N York St
Elmhurst, IL 60126
Phone (312) 213-7862

Organizations & group practices 1

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": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1215408885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N LOMBARD AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021430",
            "telephone_number": "708-369-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE STE 408",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011338",
            "telephone_number": "708-369-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLEY",
        "first_name": "PAIGE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.009458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.