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LAUREN PAULES LSW
NPI 1184446981
Social Worker - Clinical in Philadelphia, PA

Active since October 31, 2024PECOS EnrolledAccepts Medicare Assignment
700 S 7TH ST # 293, PHILADELPHIA, PA 19147(856) 433-4184 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lauren Paules Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREN PAULES LSW (NPI 1184446981) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW026090) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Harrisburg, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1184446981
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLAUREN PAULESCredential: LSW
Location Address700 S 7TH ST # 293Philadelphia, PA 19147-2119
Mailing Address1080 N Sherman St Apt 406Denver, CO 80203-2855
Phone(856) 433-4184
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 31, 2024
Last NPPES UpdateAugust 8, 2025
NPPES CertifiedAugust 8, 2025
✔ NPI 1184446981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW026090
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
700 S 7TH ST # 293, Philadelphia, PA 19147
Open in Google Maps ↗

Secondary Practice Location 1

Location 1600 N 2nd St Ste 401Harrisburg, PA 17101-1071 · Phone (860) 788-6404

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren Paules Lsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870001993
PECOS Enrollment IDI20250731003544, I20251226001898, I20260105000102
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Lauren Paules reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Meditelecare Of Pennsylvania LLC
95 mi
Clinical
600 N 2ND ST STE 401
Harrisburg, PA 17101
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 66 clinicians in this Medicare group
NPI 1396351847 (860) 788-6404
Meditelecare Of Virginia, LLC
204 mi
Clinical
4701 COX RD STE 285
Glen Allen, VA 23060
  • Reassigned Medicare billing, Virginia enrollment
  • 15 clinicians in this Medicare group
NPI 1851890321 (860) 788-6404
Meditelecare Of West Virginia PLLC
371 mi
Clinical
5098 WASHINGTON ST W STE 407
Charleston, WV 25313
  • Reassigned Medicare billing, West Virginia enrollment
  • 27 clinicians in this Medicare group
NPI 1235631888 (860) 788-6404

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.88 – $180.99
Typical copayment $0.00 (range $14.97 – $45.24)
Most-billed visit code NA
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN LEA SMILEY LPC
Counselor (Mental Health)
700 S 7TH ST # 293
PHILADELPHIA, PA 19147
Philadelphia County (856) 433-4184

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren Paules's NPI number?

The NPI number for Lauren Paules is 1184446981. It was assigned to this individual provider in the NPPES registry on October 31, 2024.

Where is Lauren Paules located?

Lauren Paules practices at 700 S 7th St # 293, Philadelphia, PA 19147. The listed phone number is (856) 433-4184.

What is Lauren Paules's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lauren Paules enrolled in Medicare?

Yes. Lauren Paules is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lauren Paules's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Paules reassigns Medicare benefits to 3 organizations: Meditelecare Of Pennsylvania LLC (Harrisburg, PA), Meditelecare Of Virginia, LLC (Glen Allen, VA) and Meditelecare Of West Virginia PLLC (Charleston, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lauren Paules's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Paules accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Highmark Blue Cross Blue Shield West Virginia list Lauren Paules as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lauren Paules was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.