Individual provider Active NPI

Paul Voltz

  • Clinical Social Worker
  • Orland Park, IL
National Provider Identifier
1922118058
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
14475 John Humphrey Dr
LL-Suite C
Orland Park, IL 60462-6205
Phone
(708) 557-7887
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

14475 John Humphrey Dr
LL-Suite C
Orland Park, IL 60462-6205

Mailing address

14475 John Humphrey Dr
LL-Suite C
Orland Park, IL 60462-6205

Other identifiers 1

IdentifierTypeStateIssuer
01632322OtherILBC/BS

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
I20051229000651 IL Practitioner - Clinical Social Worker 0042232399 Practice locations: Orland Park, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14475 John Humphrey Dr
LL Suite C
Orland Park, IL 60462-6215

14475 John Humphrey Dr C
Orland Park, IL 60462-6215
Phone (708) 557-7887

14475 John Humphrey Dr LL C
Orland Park, IL 60462-6215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-006571ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922118058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14475 JOHN HUMPHREY DR",
            "address_2": "LL-SUITE C",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14475 JOHN HUMPHREY DR",
            "address_2": "LL-SUITE C",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626205",
            "telephone_number": "708-557-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLTZ",
        "first_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "01632322",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.