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PAULA SWARTZ LCSW
NPI 1457030413
Social Worker - Clinical in Oconomowoc, WI

Active since July 17, 2023PECOS Enrolled
1230 CORPORATE CTR DR STE 100, OCONOMOWOC, WI 53066(262) 789-1191 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Paula Swartz Lcsw NPPES

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

PAULA SWARTZ LCSW (NPI 1457030413) is an individual clinical provider in Oconomowoc, Wisconsin, licensed in Wisconsin (11361-123) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1457030413
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePAULA SWARTZCredential: LCSW
Location Address1230 CORPORATE CTR DR STE 100Oconomowoc, WI 53066-4883
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (262) 999-3495
Phone(262) 789-1191
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 17, 2023
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1457030413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WI · 11361-123✔ Licensed in WI · 11075-123
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.
1230 CORPORATE CTR DR STE 100, Oconomowoc, WI 53066
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan 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 (PECOS)

Paula Swartz Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698272052
PECOS Enrollment IDI20251010000568
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

2

Medicare enrollment records show Paula Swartz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cornerstone Counseling Services, Inc
18 mi
Mental Health
16535 W BLUEMOUND RD, SUITE 200
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 556 clinicians in this Medicare group
NPI 1033127246 (262) 789-1191
And Still She Blooms LLC
24 mi
Clinical
10731 W FOREST HOME AVE STE 114
Hales Corners, WI 53130
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1801761309 (262) 666-4892

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 53066 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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 Paula Swartz's NPI number?

The NPI number for Paula Swartz is 1457030413. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Where is Paula Swartz located?

Paula Swartz practices at 1230 Corporate Ctr Dr Ste 100, Oconomowoc, WI 53066. The listed phone number is (262) 789-1191.

What is Paula Swartz's specialty?

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

Is Paula Swartz enrolled in Medicare?

Yes. Paula Swartz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paula Swartz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paula Swartz reassigns Medicare benefits to 2 organizations: Cornerstone Counseling Services, Inc (Brookfield, WI) and And Still She Blooms LLC (Hales Corners, WI). 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 Paula Swartz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paula Swartz accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Medica and Network Health and 1 other insurer list Paula Swartz 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 Paula Swartz was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.