Active NPI
Paige Jordan Hauser, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1861058885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149021188
- Practice address
- 200 E Ohio St Ste 400
Chicago, IL 60611-7233 - Phone
- (312) 858-5440
- Fax
- (312) 475-0964
- NPI assigned
- May 15, 2019
- Last updated
- Feb 15, 2023
- Sex
- Female
- 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 | 149021188 | IL | Primary |
Addresses
Primary practice location
200 E Ohio St Ste 400
Chicago, IL 60611-7233
Mailing address
111 W Jackson Blvd Ste 1700
Chicago, IL 60604-3597
Phone (646) 453-6777
Other names 1
- Paige Jordan Zimmerman
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149021188 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1861058885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W JACKSON BLVD STE 1700",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606043597",
"telephone_number": "646-453-6777",
"fax_number": "833-900-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E OHIO ST STE 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606117233",
"telephone_number": "312-858-5440",
"fax_number": "312-475-0964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSER",
"first_name": "PAIGE",
"middle_name": "JORDAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-15",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149021188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAIGE",
"last_name": "ZIMMERMAN",
"middle_name": "JORDAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.