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MR. PAUL J. DETAEGE L.C.S.W.
NPI 1598887580
Social Worker - Clinical in Chicago, IL

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment
5215 N RAVENSWOOD AVE STE 314, CHICAGO, IL 60640(773) 988-4965 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Paul J. Detaege L.c.s.w. NPPES

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

MR. PAUL J. DETAEGE L.C.S.W. (NPI 1598887580) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.008180) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1598887580
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. PAUL J. DETAEGECredential: L.C.S.W.
Location Address5215 N RAVENSWOOD AVE STE 314Chicago, IL 60640-1670
Mailing Address5215 N Ravenswood Ave Ste 314Chicago, IL 60640-1670 · (773) 988-4965
Phone(773) 988-4965
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateApril 3, 2007
Last NPPES UpdateAugust 5, 2022
NPPES CertifiedAugust 5, 2022
✔ NPI 1598887580 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 IL · 149.008180
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.
5215 N RAVENSWOOD AVE STE 314, Chicago, IL 60640
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Paul J. Detaege L.c.s.w. 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 ID8921033531
PECOS Enrollment IDI20051003000624
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60640 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 Paul Detaege's NPI number?

The NPI number for Paul Detaege is 1598887580. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Paul Detaege located?

Paul Detaege practices at 5215 N Ravenswood Ave Ste 314, Chicago, IL 60640. The listed phone number is (773) 988-4965.

What is Paul Detaege's specialty?

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

Is Paul Detaege enrolled in Medicare?

Yes. Paul Detaege 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.

When was this NPI record last updated?

The NPPES record for Paul Detaege was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.