Active NPI
August John Paulson, MSW, LCSW
- Clinical Social Worker
- Evansville, IN
National Provider Identifier
1780761890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34004841A
- Practice address
- 15 Vann Ave
Evansville, IN 47714-1444 - Phone
- (812) 402-8333
- Fax
- (812) 402-8331
- NPI assigned
- Nov 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34004841A | IN | Primary |
Addresses
Primary practice location
15 Vann Ave
Evansville, IN 47714-1444
Mailing address
PO Box 33
Evansville, IN 47701-0033
Phone (812) 473-0181
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01467443 | Other | RAILROAD MEDICARE | |
| 000000920801 | Other | IN | ANTHEM BCBS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1780761890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477010033",
"telephone_number": "812-473-0181",
"fax_number": "812-473-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 VANN AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477141444",
"telephone_number": "812-402-8333",
"fax_number": "812-402-8331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULSON",
"first_name": "AUGUST",
"middle_name": "JOHN",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34004841A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01467443",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000920801",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.