Paul L Paladie, MSW,LMSW, LICSW,LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25684 Issued in MN

Practice address

1715 Tower Dr W Ste 100
Stillwater, MN 55082-7609

Phone

(507) 202-7196

NPI assigned

Jan 29, 2019

Last updated

Jun 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• JLS Consulting, Inc

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1295096469
  Medicare reassignment NPD

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1346704871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HOLMES ST",
            "city": "MARINE ON SAINT CROIX",
            "state": "MN",
            "postal_code": "550479601",
            "telephone_number": "507-202-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 TOWER DR W STE 100",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827609",
            "telephone_number": "507-202-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALADIE",
        "first_name": "PAUL",
        "middle_name": "L",
        "credential": "MSW,LMSW, LICSW,LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-29",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305024",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66817",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Oscarson, D.C.
• Sarah Oster, RD, LD
• Oswald LLC
• Bunmi Sara Oyegade
• Pain Centers of Minnesota - Stillwater, LLC
• Joan Palen
• Brianna Lee Pankratz, APRN, CNP
• Jane Teresa Paquette
• Paragon Psychiatric Nursing Services
• David H Park, M.D.

• Clinical Social Worker in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.