Individual provider Active NPI

Sean Michael Paras, LCSW, CADC, CRSS

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1770352072
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.026097 Issued in IL
Practice address
5113 S Harper Ave Ste 2C
Chicago, IL 60615-4119
Phone
(312) 300-3149
NPI assigned
Dec 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 35594 IL
Peer Specialist 175T00000X 31738 IL
Clinical Social Worker 1041C0700X 149.026097 IL Primary

Addresses

Primary practice location

5113 S Harper Ave Ste 2C
Chicago, IL 60615-4119

Mailing address

1639 N Alpine Rd Ste 260
Rockford, IL 61107-1481
Phone (815) 246-5213

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
I20240117002695 IL Practitioner - Clinical Social Worker 8426400227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Loyola University of Chicago, Stritch School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rockford Psychiatric Medical Services SCGroup PAC ID 6901089515, 154 clinicians

Practice addresses (Care Compare)

2300 Lehigh Ave
Suite 215
Glenview, IL 60026-1692
Phone (847) 621-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35594ILMDAddiction (Substance Use Disorder) Counselor
149.026097ILMDClinical Social Worker
31738ILMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Psychiatric Medical Services, S.C. CurrentSince Jan 1, 2024 Accepting new patients

Locations

5113 S Harper Ave
Ste 2C
Chicago, IL 60615
Phone (312) 820-4663

74 E 47TH St
Chicago, IL 60653

2300 Lehigh Ave
Ste 215
Glenview, IL 60026
Phone (847) 621-7700

1211 W 22nd St
Ste 406
Oak Brook, IL 60523

1639 N Alpine Rd
Ste 260
Rockford, IL 61107
Phone (815) 395-1500

Interoperability endpoints

  • Direct secure messaging: sean.paras.1@25899.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1770352072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 N ALPINE RD STE 260",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071481",
            "telephone_number": "815-246-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 S HARPER AVE STE 2C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154119",
            "telephone_number": "312-300-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAS",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "credential": "LCSW, CADC, CRSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "35594",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "IL",
            "license": "31738",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.