Individual provider Active NPI

Bridget Paoletti

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1558061564
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.025339 Issued in IL
Practice address
5730 W Roosevelt Rd
Chicago, IL 60644-1580
Phone
(312) 448-8362
NPI assigned
Mar 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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 149.025339 IL Primary

Addresses

Primary practice location

5730 W Roosevelt Rd
Chicago, IL 60644-1580

Mailing address

5730 W Roosevelt Rd
Chicago, IL 60644-1580

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
I20240326000224 IL Practitioner - Clinical Social Worker 5294172300 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.025339ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Hartgrove, Inc CurrentSince Feb 3, 2024 Accepting new patients
Uhs of Hartgrove, Inc. Current Accepting new patients
Uhs of Hartgrove, Inc CurrentSince Feb 3, 2024 Accepting new patients

Locations

5730 W Roosevelt Rd
Ofc
Chicago, IL 60644

5730 W Roosevelt Rd
Chicago, IL 60644
Phone (773) 413-1700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1558061564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606441580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606441580",
            "telephone_number": "312-448-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLETTI",
        "first_name": "BRIDGET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.